Roethel, Linda

Roethel, Linda is an individual health care provider with primary practice located at 196 Merrick Rd , Oceanside NY 11572-1420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roethel, Linda can be contacted via phone (516) 255-1616.

Contact Information

Primary practice address
196 Merrick Rd Oceanside NY 11572-1420
Phone: (516) 255-1616
Fax: (516) 255-4672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 184344 New York

Profile Details

NPI number 1801881677
LBN Legal business name Roethel, Linda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801881677 NPPES
New York MEDICAID 01425149
New York Other 184344
New York Other GP160
New York Other 000000071571
New York Other 5903664
New York Other 0D4451
New York Other 5022479
New York Other 5782299
New York Other AA71640
New York Other 1000021935
New York Other 2C9292
New York Other 519648

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