Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 150990 | NY |
NPI | 1275520645 |
---|---|
Provider Name | Dr. Stanley Jess Rothman |
First Address | Rye Brook, NY 10573-1906 |
Second Address | Rye Brook, NY 10573-1906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 02/02/2022 |