JOAN ROTH


Address: 25 Bialystoker Pl, New York, NY 10002-4008
Phone: 2126738500

JOAN ROTH (NPI# 1265489611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265489611
Entity Type Individual
Full Name JOAN ROTH
Credential PH.D.
Practice Address 25 Bialystoker Pl
New York
NY 10002-4008
Mailing Address 1 Old Country Rd
Suite 271
Carle Place
NY 11514-1801
Practice Telephone 2126738500
Practice Fax Number 2123539471
Mailing Telephone 8007256280
Mailing Fax Number 8007256380
Enumeration Date 2006-05-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
015838 NY Behavioral Health & Social Service Providers

Office Location

Street Address 25 BIALYSTOKER PL
City NEW YORK
State NY
Zip Code 10002-4008

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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