Roth, Jennifer D

Roth, Jennifer D is an individual health care provider with primary practice located at 104 Forest Ave , Glen Cove NY 11542-2015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Roth, Jennifer D can be contacted via phone (516) 759-5406.

Contact Information

Primary practice address
104 Forest Ave Glen Cove NY 11542-2015
Phone: (516) 759-5406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009096 New York

Profile Details

NPI number 1063636280
LBN Legal business name Roth, Jennifer D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 2007 - about 19 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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