Individual
OLITSA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
5211 15-TH AVE, BROOKLYN, NY 11219-3908
(718) 851-7444
(718) 851-9594
Mailing address
5211 15-TH AVENUE, BROOKLYN, NY 11219
(718) 851-7444
(718) 851-9594
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
148687
NY
Other
Enumeration date
07/03/2006
Last updated
11/14/2012
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