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1083695233
KATHERINE G ROTH
PORT JEFFERSON STATION, NY
NPI
1083695233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NY 207319)
Enumeration Date
2005-11-07
Last Update Date
2024-09-05
Business Address
KATHERINE G ROTH MD
12 MEDICAL DR STE D
PORT JEFFERSON STATION, NY 11776-1588
Phone number: 631-928-1222
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Mailing Address
KATHERINE G ROTH MD
12 MEDICAL DR STE D
PORT JEFFERSON STATION, NY 11776-1588
Phone number: 631-928-1222
Copy
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