Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDITH G ROTH
Active Sole ProprietorJUDITH G ROTH is a Nutrition (Chiropractor) healthcare provider located in LIDO BEACH, New York. NPI 1538145644 is currently active in the NPPES registry. Verify at CMS.
Nutrition (Chiropractor) · LIDO BEACH, NY
Registration Details
- NPI Number
- 1538145644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2005 (20.684176693865 yrs)
- Last Updated
- May 20, 2008
- License
-
XOO4297 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
164 BLACKHEATH RDLIDO BEACH, NY, 115614840Browse NY providers · Browse ZIP 11561
- Phone
- 5164312636
- Fax
- 5164325841
- Primary Specialty
-
Nutrition (Chiropractor)
111NN1001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.