Individual
ALICIA WESSON-ROTH HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, BOX 362, ROCHESTER, NY 14621-3001
(585) 922-2906
(585) 922-2951
Mailing address
1425 PORTLAND AVE, BOX 362, ROCHESTER, NY 14621-3001
(585) 922-2906
(585) 922-2951
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03693941
—
NY
05
—
J400098053
—
NY
Enumeration date
09/16/2013
Last updated
01/24/2014
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