Individual
DR. MARTIN R. ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19 DUPONT AVE, WHITE PLAINS, NY 10605-3537
(914) 949-3050
Mailing address
19 DUPONT AVE, WHITE PLAINS, NY 10605-3537
(914) 949-3050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7409
NY
Other
Enumeration date
04/12/2007
Last updated
10/31/2016
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