Individual
MAYA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1176 5TH AVE FL 9, NEW YORK, NY 10029-6503
(212) 241-7090
(212) 987-6386
Mailing address
1176 5TH AVE FL 9, NEW YORK, NY 10029-6503
(212) 241-7090
(212) 987-6386
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
336416
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
06/27/2025
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