Individual
NEIL S ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 E 77TH ST, 8TH FLOOR, NEW YORK, NY 10021-1851
(212) 861-2300
Mailing address
130 E 77TH ST, 8TH FLOOR, NEW YORK, NY 10021-1851
(212) 861-2300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA06997300
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
195903
NY
Other
Enumeration date
07/07/2006
Last updated
09/29/2016
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