Individual
ANTONIA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E 15TH ST, NEW YORK, NY 10003-4002
(212) 780-9175
Mailing address
546 MAIN ST APT 1020, NEW YORK, NY 10044-0042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1579764221
NY
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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