Individual provider · Type 1 NPI

Ephraim S. Roth

Specialist · Flushing, NY

NPI number 1386669166 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1909

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X175907-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386669166

Ephraim S. Roth's National Provider Identifier is 1386669166, issued on Jul 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Flushing, NY. The record was last updated on Nov 17, 2010.