Individual
SAM ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(844) 692-4692
Mailing address
2601 OCEAN PARKWAY, SURGERY DEPARTMENT ROOM 7N33, BROOKLYN, NY 11235
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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