Roth, Nicholas James

Roth, Nicholas James is an sole proprietor health care provider with primary practice located at 136 Kinsella Ave , Massapequa Park NY 11762-3337. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roth, Nicholas James can be contacted via phone (516) 462-2001.

Contact Information

Primary practice address
136 Kinsella Ave Massapequa Park NY 11762-3337
Phone: (516) 462-2001
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1386372050
LBN Legal business name Roth, Nicholas James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2022
Last updated Aug 10th, 2022 - about 4 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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