CHRISTIAN ROUTH

STONY BROOK, NY
NPI1467960294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  308297)
Enumeration Date2018-01-15
Last Update Date2018-01-15
Business Address
CHRISTIAN ROUTH MSN, AGNP-C
VASCULAR SURGERY HSC T19-090
STONY BROOK, NY 11794-8191
Phone number: 631-444-2037
Mailing Address
CHRISTIAN ROUTH MSN, AGNP-C
155 DIVISION AVE
WEST SAYVILLE, NY 11796-1313
Phone number:
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