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1033462312
SANDRA M ROTH
COMMACK, NY
NPI
1033462312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY F306134-1)
Enumeration Date
2012-10-23
Last Update Date
2012-10-23
Business Address
SANDRA M ROTH ANP-C
52 RADBURN DR
COMMACK, NY 11725-1129
Phone number: 631-864-5175
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Mailing Address
SANDRA M ROTH ANP-C
52 RADBURN DR
COMMACK, NY 11725-1129
Phone number: 631-864-5175
Copy
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