Elise Roth, RN

NPI #1871047308 in Moriches, New York

Provider Information

NPI Number: 1871047308
Entity Type: Individual
Name: Elise Roth, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Aug 13, 2016
Last Updated: Aug 13, 2016

Practice Location

Address: 73 SUNRISE CT
Address 2: APT 13
City: Moriches
State: New York
ZIP Code: 11955-2021
Phone: (631) 560-7740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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