Katherine G Roth MD

NPI 1083695233 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1083695233
Gender Female
Enumeration Date 11/07/2005
Last Updated 12/22/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
120 N COUNTRY RD
PORT JEFFERSON NY, 11777-2604, US
Phone (631) 928-1222
Fax (631) 928-8605
Business Location
120 N COUNTRY RD
PORT JEFFERSON NY, 11777-2604, US
Phone (631) 928-1222
Fax (631) 928-8605
Toxanomy
Taxonomy Code 2084N0400X
License State New York
License Number 207319
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According to our database, Katherine G Roth MD NPI is 1083695233, taxonomy code is 2084N0400X and license number is 207319, license state is located at New York. Katherine G Roth MD physically located at 120 N Country Rd, Port Jefferson NY, 11777-2604. NPI Number Katherine G Roth MD has the Individual type.

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1083695233 NPI number is provided on an as is basis without warranty of any kind. 1083695233 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine G Roth MD are for informational purposes only.