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1023898244
KELLI ROTH
LONG ISLAND CITY, NY
NPI
1023898244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 352922)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
KELLI ROTH
1041 47TH AVE
LONG ISLAND CITY, NY 11101-5416
Phone number: 212-385-3700
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Mailing Address
KELLI ROTH
60 W 23RD ST APT 549
NEW YORK, NY 10010-5285
Phone number: 908-303-0801
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