Individual
LISA ANNE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
291 BROADWAY RM 710, NEW YORK, NY 10007-1928
(917) 719-6156
(347) 270-8747
Mailing address
291 BROADWAY RM 710, NEW YORK, NY 10007-1928
(917) 719-6156
(347) 270-8747
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD293829
NY
Other
Enumeration date
06/06/2014
Last updated
09/27/2023
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