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1619601028
PETER MARTIN ROTH
ROSLYN, NY
NPI
1619601028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 028473)
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
PETER MARTIN ROTH PA
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1347
Phone number: 516-562-6000
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Mailing Address
PETER MARTIN ROTH PA
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1347
Phone number: 516-562-6000
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