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Contact Information

RONALD ROTH, MD
100 MAPLE AVENUE
SMITHTOWN, NY11787
 Phone: 631-265-7671
 Fax: 631-265-7692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RONALD ROTH · (Male)

NPI Number 1891870234
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1206341
  • NY Medicaid 00822775
Hospital affiliation(s)
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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