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NPI Code Detail

MEDICARE: TOSHYANNA LASTAR ROBERTS- AIKEN

MEDICARE: TOSHYANNA LASTAR ROBERTS- AIKEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician32017SC

General Provider Information

NPI Number : 1891627287
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOSHYANNA LASTAR ROBERTS- AIKEN
Provider Business Mailing Address
First Line : PO BOX 23321
Second Line :
City : NEW YORK
State : NY
Zip : 10087-4321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-8908
Country : US
Telephone Number : 843-985-3839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ TOSHYANNA LASTAR ROBERTS- AIKEN ” Practice Location

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