Individual
AMY ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-7544
(212) 562-5518
Mailing address
13609 68TH DR, FLUSHING, NY 11367-1619
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380934
NY
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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