Nicholas James Roth, PA-C
NPI #1386372050 in Massapequa Park, New York
Provider Information
- NPI Number
- 1386372050
- Entity Type
- Individual
- Name
- Nicholas James Roth, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 10, 2022
- Last Updated
- Aug 10, 2022
Practice Location
- Address
- 136 KINSELLA AVE
- City
- Massapequa Park
- State
- New York
- ZIP Code
- 11762-3337
- Phone
- (516) 462-2001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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