Roth, Malcolm Zachary

Roth, Malcolm Zachary is an sole proprietor health care provider with primary practice located at 925 49Th St 1St Floor, Brooklyn NY 11219-2923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Roth, Malcolm Zachary can be contacted via phone (718) 283-7022.

Contact Information

Primary practice address
925 49Th St 1St Floor Brooklyn NY 11219-2923
Phone: (718) 283-7022
Fax: (718) 283-8123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 158057 New York
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 158057 New York

Profile Details

NPI number 1598775884
LBN Legal business name Roth, Malcolm Zachary
Credentials MD, FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Aug 2nd, 2011 - about 14 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 1598775884 NPPES
New York MEDICAID 01094444
New York Other 0015625
New York Other 26E721

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