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1760927313
MICHAEL ROTH
JAMAICA, NY
NPI
1760927313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-01-05
Last Update Date
2017-01-05
Business Address
-- MICHAEL ROTH
8268 164TH ST SUITE 1B-02
JAMAICA, NY 11432-1121
Phone number: 718-883-3070
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Mailing Address
-- MICHAEL ROTH
8268 164TH ST SUITE 1B-02
JAMAICA, NY 11432-1121
Phone number: 718-883-3070
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