Roth, Sandra M

Roth, Sandra M is an individual health care provider with primary practice located at 52 Radburn Dr , Commack NY 11725-1129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Roth, Sandra M can be contacted via phone (631) 864-5175.

Contact Information

Primary practice address
52 Radburn Dr Commack NY 11725-1129
Phone: (631) 864-5175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F306134-1 New York

Profile Details

NPI number 1033462312
LBN Legal business name Roth, Sandra M
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2012
Last updated Oct 23rd, 2012 - about 12 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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