Individual
PATRICIA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAT, ATR-BC
Contact information
Practice address
236 E 82ND ST APT 1F, NEW YORK, NY 10028-2798
(917) 225-6216
Mailing address
2634 202ND ST, BAYSIDE, NY 11360-2325
(917) 225-6216
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001650-1
NY
Other
Enumeration date
12/21/2020
Last updated
01/05/2021
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