Individual provider · Type 1 NPI

Kristen Marie Roth

Student in an Organized Health Care Education/Training Program · Sea Cliff, NY

NPI number 1578437752 Active

Practice location

22 Downing Ave
Sea Cliff, NY 11579-2014

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578437752

Kristen Marie Roth's National Provider Identifier is 1578437752, issued on Oct 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sea Cliff, NY. The record was last updated on Oct 1, 2025.