Roth, Martha
Roth, Martha is an sole proprietor health care provider with primary practice located at 20 First Ave , Nyack NY 10960-2114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Roth, Martha can be contacted via phone (845) 535-5133.Contact Information
Primary practice address
20 First Ave
Nyack NY 10960-2114
Phone: (845) 535-5133
Fax: (845) 231-6220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000583F | New York |
Profile Details
| NPI number | 1871614438 |
|---|---|
| LBN Legal business name | Roth, Martha |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jan 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871614438 | NPPES |
| New York | MEDICAID | 01727600 |
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