Jill Stacey Roth L.M.S.W

NPI 1356558993 - Social Worker - 1041C0700X

NPI Details
NPI 1356558993
Gender Female
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
423 E 23RD ST
NEW YORK NY, 10010-5011, US
Phone (212) 496-7776
Business Location
NEW YORK NY, 10023, US
Phone (212) 496-7776
Taxonomy Code 1041C0700X
License State New York
License Number 056681
Remove 1356558993 NPI Number

According to our database, Ms. Jill Stacey Roth L.M.S.W NPI is 1356558993, taxonomy code is 1041C0700X and license number is 056681, license state is located at New York. Jill Stacey Roth L.M.S.W physically located at 423 E 23rd St, New York NY, 10010-5011. NPI Number Jill Stacey Roth L.M.S.W has the Individual type.

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1356558993 NPI number is provided on an as is basis without warranty of any kind. 1356558993 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Stacey Roth L.M.S.W are for informational purposes only.