Individual
JEFFREY S ROTHBURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 WESTWOOD CT, DIX HILLS, NY 11746-4833
(516) 972-0630
(631) 462-0591
Mailing address
5 WESTWOOD CT, DIX HILLS, NY 11746-4833
(516) 972-0630
(631) 462-0591
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
131184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
665123
—
NY
Enumeration date
09/07/2006
Last updated
04/28/2016
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