National Provider Identifier

Carol A Bobertz

Carol A Bobertz is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Trumansburg, NY and a listed phone number of (607) 387-4393.

NPI 1639637457Trumansburg, NYEarly Intervention Provider Agency

Profile Overview

NPI
1639637457
Provider Type
Individual
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
March 11, 2019
Last Updated
March 11, 2019

Practice Location

  • 4 Sunrise Ter
  • Trumansburg, NY 14886-9102

Phone: (607) 387-4393

Specialties

  • Early Intervention Provider Agency (252Y00000X)
Full Record
NPI
1639637457
Entity Type
Individual
Last Name
Bobertz
First Name
Carol
Middle Name
A
Mailing Street Address
4 Sunrise Ter
Mailing City
Trumansburg
Mailing State
NY
Mailing ZIP Code
14886-9102
Mailing Country
US
Mailing Phone
(607) 387-4393
Practice Street Address
4 Sunrise Ter
Practice City
Trumansburg
Practice State
NY
Practice ZIP Code
14886-9102
Practice Country
US
Practice Phone
(607) 387-4393
Enumeration Date
March 11, 2019
Last Updated
March 11, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Early Intervention Provider Agency (252Y00000X)