Dr. Eric S Roth
Pain Medicine
16405 Hillside Ave
Jamaica
, New York 11432-4140
Dr. Eric S Roth
Pain Medicine
16405 Hillside Ave
Jamaica
, New York 11432-4140
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Eric S Roth
- 178 Ancon Ave
- Pelham, NY
- Zip : 10803-2005
- Phone :
Second Address
- Dr. Eric S Roth
- 16405 Hillside Ave
- Jamaica, NY
- Zip : 11432-4140
- Phone : (718) 297-6090
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 184192 | NY |
National Provider Identifier
| NPI | 1083705180 |
|---|---|
| Provider Name | Dr. Eric S Roth |
| First Address | Pelham, NY 10803-2005 |
| Second Address | Jamaica, NY 11432-4140 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 11/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F96253 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.