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Organization

OLITSA ROTH, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSALYN SCHNITZLER (OFFICE MANAGER)
(718) 851-7444
Entity
Organization

Contact information

Practice address
5211 15TH AVE, BROOKLYN, NY 11219-1460
(718) 851-7444
(718) 851-9594
Mailing address
5211 15TH AVE, BROOKLYN, NY 11219-1460
(718) 851-7444
(718) 851-9594

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
148687
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00715820
NY
Enumeration date
07/09/2013
Last updated
07/09/2013
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