Individual
ARIELLA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 E 21ST ST, BROOKLYN, NY 11229-3607
(917) 589-6209
Mailing address
2141 E 21ST ST, BROOKLYN, NY 11229-3607
(917) 589-6209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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