Individual
DR. RONALD THOMAS ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
83 MAIDEN LN, NEW YORK, NY 10038-4812
(212) 780-2500
Mailing address
815 RED ROAD, 2A, TEANECK, NJ 07666
(718) 510-4281
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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