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Individual

MS. SHELLEY GAIL ROTHBART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
210 E 68TH ST STE 1H, NEW YORK, NY 10065-6024
(212) 628-9274
(212) 658-9854
Mailing address
210 E 68TH ST STE 1H, NEW YORK, NY 10065-6024
(212) 628-9274
(212) 658-9854

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000746
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026543004
CIGNA HEALTH PLANS
NY
01
03P541
EMPIRE BLUE CROSS BLUE SHIELD
NY
01
1868517
UNITED HEALTH PLAN
NY
01
P2543447
OXFORD HEALTH PLANS
NY
Enumeration date
05/19/2008
Last updated
05/19/2008
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