Organization
STATEN ISLAND NEONATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ROTH MD (DIRECTOR)
(718) 226-9796
Entity
Organization
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9796
(718) 226-8857
Mailing address
1 EDGEWATER ST, SUITE 723, STATEN ISLAND, NY 10305-4900
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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