Roth, Judith G

Roth, Judith G is an sole proprietor health care provider with primary practice located at 164 Blackheath Rd , Lido Beach NY 11561-4840. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Roth, Judith G can be contacted via phone (516) 431-2636.

Contact Information

Primary practice address
164 Blackheath Rd Lido Beach NY 11561-4840
Phone: (516) 431-2636
Fax: (516) 432-5841
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X XOO4297 New York

Profile Details

NPI number 1538145644
LBN Legal business name Roth, Judith G
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2005
Last updated May 20th, 2008 - about 16 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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