Individual
MICHELANNE ROTHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032
(212) 305-8075
Mailing address
30 W 86TH ST APT 1F, NEW YORK, NY 10024-3600
(917) 818-0715
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
274301
NY
Other
Enumeration date
04/30/2010
Last updated
05/14/2018
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