Individual
SCOTT LAWRENCE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 CRESCENT LN, ROSLYN HEIGHTS, NY 11577-1528
(516) 805-3994
(866) 524-1562
Mailing address
2 CRESCENT LN, ROSLYN HEIGHTS, NY 11577-1528
(516) 805-3994
(866) 524-1562
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
172466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01395353
—
NY
Enumeration date
07/26/2006
Last updated
06/19/2015
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