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Contact Information

GARY R ROBERTS, CASAC
138 NORTH COURT STREET
WAMPSVILLE, NY13163
 Phone: 315-366-2327
 Fax: 315-366-2599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GARY R ROBERTS · (Male)

NPI # 1346284585
Status Active
Credentials CASAC
Entity Individual
Enumeration date 06/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 6486
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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