Roth, Donald
Roth, Donald is an individual health care provider with primary practice located at 111 Maltese Dr , Middletown NY 10940-2115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roth, Donald can be contacted via phone (845) 342-4774.Contact Information
Primary practice address
111 Maltese Dr
Middletown NY 10940-2115
Phone: (845) 342-4774
Fax: (845) 343-3295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 104712 | New York |
Profile Details
| NPI number | 1699750281 |
|---|---|
| LBN Legal business name | Roth, Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Nov 11th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699750281 | NPPES |
| New York | MEDICAID | 00182123 |
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