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Individual

DR. HAL ROTHBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
233 E SHORE RD, SUITE 109, GREAT NECK, NY 11023-2433
(516) 487-3466
(516) 487-3494
Mailing address
233 E SHORE RD, SUITE 109, GREAT NECK, NY 11023-2433
(516) 487-3466
(516) 487-3494

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
161662
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0023478
GROUP HEALTH INC.
01
302004
UNITED HEALTHCARE
01
4061270
AETNA
01
5298370
CIGNA
01
557D71
EMPIRE BLUE CROSS/BS
NY
01
AP080
OXFORD HEALTH PLANS
Enumeration date
10/05/2006
Last updated
07/08/2007
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