Individual
NITZAN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 562-4664
Mailing address
SANDRA ATLAS BASS CENTER FOR LIVER DISEASES, 400 COMMUNITY DRIVE, MANHASSET, NY 11030
(516) 562-4664
Taxonomy
Speciality
Code
Description
License number
State
207RT0003X
Transplant Hepatology Physician
Primary
295088
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113871
SID # 113871
CA
Enumeration date
01/26/2012
Last updated
05/26/2020
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