Roth, Martha

Roth, Martha is an sole proprietor health care provider with primary practice located at 20 First Ave , Nyack NY 10960-2114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Roth, Martha can be contacted via phone (845) 535-5133.

Contact Information

Primary practice address
20 First Ave Nyack NY 10960-2114
Fax: (845) 231-6220
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000583F New York

Profile Details

NPI number 1871614438
LBN Legal business name Roth, Martha
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jan 8th, 2016 - about 9 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 1871614438 NPPES
New York MEDICAID 01727600

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