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Individual

DR. NATHAN IRA ROTHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
360 CENTRAL AVE, STE 113, LAWRENCE, NY 11559
(516) 569-6966
(516) 569-4026
Mailing address
360 CENTRAL AVE, STE 113, LAWRENCE, NY 11559
(516) 569-6966
(516) 569-4026

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
124197
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00250248
NY
01
124197
LICENSE
NY
Enumeration date
11/16/2005
Last updated
09/18/2017
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