Roth, Scott Lawrence

Roth, Scott Lawrence is an sole proprietor health care provider with primary practice located at 2 Crescent Ln , Roslyn Heights NY 11577-1528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Roth, Scott Lawrence can be contacted via phone (516) 805-3994.

Contact Information

Primary practice address
2 Crescent Ln Roslyn Heights NY 11577-1528
Fax: (866) 524-1562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 172466 New York

Profile Details

NPI number 1508880592
LBN Legal business name Roth, Scott Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jun 19th, 2015 - 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 1508880592 NPPES
New York MEDICAID 01395353

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