Individual
IVAN K. ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
242 MERRICK RD, STE 301, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-1455
(516) 536-1598
Mailing address
242 MERRICK RD, STE 301, ROCKVILLE CENTRE, NY 11570-5254
(516) 536-1455
(516) 536-1598
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
118591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00242791
—
NY
01
—
W15181
GROUP#
—
Enumeration date
07/19/2005
Last updated
12/07/2009
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