Organization
GLEN COVE PHYSICAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC S. ROTH MD (PC OWNER)
(516) 759-2032
Entity
Organization
Contact information
Practice address
7 VILLAGE SQ, GLEN COVE, NY 11542-2515
(516) 759-2032
(516) 759-2117
Mailing address
7 VILLAGE SQ, GLEN COVE, NY 11542-2515
(516) 759-2032
(516) 759-2117
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NY
225100000X
Physical Therapist
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100140595908
UNITEDHEALTH CARE COMMUNITY PLAN
NY
01
—
1083705180
NPI
NY
01
—
1347996
UNITEDHEALTH CARE
NY
01
—
2373386
GHI
NY
01
—
4191098
CIGNA
NY
01
—
5239J1
EMPIRE BLUE CROSS BLUE SHIELD
NY
01
—
8287078
AETNA HMO
NY
01
—
830088P
HIP
NY
01
—
P4407585
OXFORD
NY
Enumeration date
10/05/2011
Last updated
04/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us