SANDRA M ROTH

COMMACK, NY
NPI1033462312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F306134-1)
Enumeration Date2012-10-23
Last Update Date2012-10-23
Business Address
-- SANDRA M ROTH ANP-C
52 RADBURN DR
COMMACK, NY 11725-1129
Phone number: 631-864-5175
Mailing Address
-- SANDRA M ROTH ANP-C
52 RADBURN DR
COMMACK, NY 11725-1129
Phone number: 631-864-5175
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