NICHOLAS JAMES ROTH

MASSAPEQUA PARK, NY
NPI1386372050
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-08-10
Last Update Date2022-08-10
Business Address
NICHOLAS JAMES ROTH PA-C
136 KINSELLA AVE
MASSAPEQUA PARK, NY 11762-3337
Phone number: 516-462-2001
Mailing Address
NICHOLAS JAMES ROTH PA-C
136 KINSELLA AVE
MASSAPEQUA PARK, NY 11762-3337
Phone number: 516-462-2001
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