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Contact Information

JEANNINE M ROTHER, PA-C
121 EVERETT ROAD
ALBANY, NY12205
 Phone: 518-453-9088
 Fax: 518-689-3895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEANNINE M ROTHER · (Female)

NPI # 1245209261
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/14/2006
Last updated 03/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 009978-1
  • NY Medicaid 03094153
Hospital affiliation(s) Not Available
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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