Individual
MRS. LAURA A ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Mailing address
22 DOWNING AVE, SEA CLIFF, NY 11579-2014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
005725
NY
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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