Individual
KAREN S. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, ACHPN
Contact information
Practice address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Mailing address
4195 W WALWORTH RD, MACEDON, NY 14502-9313
(315) 986-5771
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300625
NY
Other
Enumeration date
07/15/2005
Last updated
03/26/2009
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