Dr. Stephen Jason Roth, MD
Psychiatry & Neurology, Neurology in Lynbrook, NY. Individual provider (NPI-1).
NPI number1801075239
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1801075239
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephen Jason Roth
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2007
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 245801-1 | NY | Yes |
Practice location
360 Merrick Rd Fl 1Lynbrook, NY 11563-2526
Phone 516-887-3516 · Fax 516-887-0031
Mailing address
360 Merrick Rd Fl 1Lynbrook, NY 11563-2526
Phone 516-887-3516 · Fax 516-887-0031
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