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Individual

DEENA ROTHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4302 ALTON RD STE 100, MIAMI BEACH, FL 33140-2892
(516) 417-0639
Mailing address
150 E 42ND ST FL 10, NEW YORK, NY 10017-5612

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9117796
FL
363AS0400X
Surgical Physician Assistant
023879
NY

Other

Enumeration date
08/26/2019
Last updated
06/24/2024
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