Individual
MS. MARTHA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
20 FIRST AVE, NYACK, NY 10960-2114
(845) 535-5133
(845) 231-6220
Mailing address
20 FIRST AVE, NYACK, NY 10960-2114
(845) 535-5133
(845) 231-6220
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000583F
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01727600
—
NY
Enumeration date
04/02/2007
Last updated
01/08/2016
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