Individual
DANIEL ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5211 15TH AVE, BROOKLYN, NY 11219-3997
(718) 851-7444
(718) 851-9594
Mailing address
5211 15TH AVE., BROOKLYN, NY 11219
(718) 851-7444
(718) 851-9594
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
263035
NY
Other
Enumeration date
08/19/2008
Last updated
11/21/2011
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