Jason Roth

NPI 1033464052 - Social Worker - 104100000X

NPI Details
NPI 1033464052
Gender Male
Enumeration Date 07/16/2012
Last Updated 07/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1623 KINGS HWY
BROOKLYN NY, 11229-1209, US
Phone (718) 375-1200
Fax
Business Location
1623 KINGS HWY
BROOKLYN NY, 11229-1209, US
Phone (718) 375-1200
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 0
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According to our database, Mr. Jason Roth NPI is 1033464052, taxonomy code is 104100000X and license number is 0, license state is located at New York. Jason Roth physically located at 1623 Kings Hwy, Brooklyn NY, 11229-1209. NPI Number Jason Roth has the Individual type.

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1033464052 NPI number is provided on an as is basis without warranty of any kind. 1033464052 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Roth are for informational purposes only.