JENNIFER D ROTH

GLEN COVE, NY
NPI1063636280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  009096)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- JENNIFER D ROTH PA
104 FOREST AVE
GLEN COVE, NY 11542-2015
Phone number: 516-759-5406
Mailing Address
-- JENNIFER D ROTH PA
4626 217TH ST
BAYSIDE, NY 11361-3530
Phone number:
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