Dr. Jeffrey Stephen Roth
Dermatologist
580 Park Ave
New York
, New York 10065-7313
Dr. Jeffrey Stephen Roth
Dermatologist
580 Park Ave
New York
, New York 10065-7313
(212) 838-5636
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Stephen Roth
- 580 Park Ave
- New York, NY
- Zip : 10065-7313
- Fax : (212) 838-5636
- Phone : (212) 752-3692
Second Address
- Dr. Jeffrey Stephen Roth
- 580 Park Ave
- New York, NY
- Zip : 10065-7313
- Fax : (212) 838-5636
- Phone : (212) 752-3692
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 1828581 | NY |
National Provider Identifier
| NPI | 1043203243 |
|---|---|
| Provider Name | Dr. Jeffrey Stephen Roth |
| First Address | New York, NY 10065-7313 |
| Second Address | New York, NY 10065-7313 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 03/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F24002 | (02) |
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.