Individual
DR. JUDITH SHARON ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
420 W END AVE, NEW YORK, NY 10024-5708
(212) 877-8138
Mailing address
460 RIVERSIDE DR # 112, NEW YORK, NY 10027-6821
(212) 877-8138
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011385-1
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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