Individual
DR. STEPHEN JASON ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 MERRICK RD FL 1, LYNBROOK, NY 11563-2526
(516) 887-3516
(516) 887-0031
Mailing address
360 MERRICK RD FL 1, LYNBROOK, NY 11563-2526
(516) 887-3516
(516) 887-0031
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
245801-1
NY
Other
Enumeration date
11/01/2007
Last updated
09/24/2024
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