Organization
DIANA ROTH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ROTH MD (PHYSICIAN)
(718) 851-0811
Entity
Organization
Contact information
Practice address
5211 15TH AVE, BROOKLYN, NY 11219-3997
(718) 851-0811
(718) 851-0558
Mailing address
5211 15TH AVE, BROOKLYN, NY 11219-3997
(718) 851-0811
(718) 851-0558
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
225761
NY
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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