Most Relevant Information
Provider Data
| NPI Number: | 1003012337 |
| Provider Name: | DEBRA ROTH |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | RO45127-1 |
Most Important Dates
| Enumeration Date: | 06/24/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
80 UNIVERSITY PL
2ND FLOOR
NEW YORK
NY
100034564
Practice Location Phone/Fax
| Phone: | 2123528282 |
| Fax: |
Provider Mailing Location
115 4TH AVE
APT 5J
NEW YORK
NY
100034900
Provider Mailing Phone/Fax
| Phone: | 2123528282 |
| Fax: |