Roth, Amy Lynn

Roth, Amy Lynn is an sole proprietor health care provider with primary practice located at 11 Orchard Farm Rd , Port Washington NY 11050-3309. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roth, Amy Lynn can be contacted via phone (516) 767-0533.

Contact Information

Primary practice address
11 Orchard Farm Rd Port Washington NY 11050-3309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 084265-1 New York

Profile Details

NPI number 1356790612
LBN Legal business name Roth, Amy Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2016
Last updated Jun 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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