Healthcare Provider Details

I. General information

NPI: 1265579858
Provider Name (Legal Business Name): CELINA M ROBERTSON-PARRIS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQUARE EAST BETH ISRAEL MEDICAL CENTER PACC LL61
NEW YORK NY
10003
US

IV. Provider business mailing address

535 MARTENSE AVE
TEANECK NJ
07666-2504
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-8026
  • Fax: 212-844-8037
Mailing address:
  • Phone: 212-844-8026
  • Fax: 212-844-8037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberF302038
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: