Robert G Roth is a Neurology in Port Jefferson, New York. Robert G Roth practices all healthcare services and medical treatments related to Neurology. The NPI Number for Robert G Roth is 1538140785. The last update date is 2008-03-25.
Robert G Roth's current location address is 120 N Country Rd, Port Jefferson, New York. You can contact this provider via phone number 6319281222 and fax number 6319288605. The mailing address for Robert G Roth is 120 N Country Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert G Roth |
|---|---|
| Address | 120 N Country Rd, Port Jefferson, New York |
| Phone Number | 6319281222 |
| Fax Number | 6319288605 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538140785 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2008-03-25 |
Provider Mailing Address Detail
| Address | 120 N Country Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117772604 |
| Phone Number | 6319281222 |
| Fax Number | 6319288605 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 81913 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 390414 | NY | -- |
Post Comment/ Review Below
What is the Robert G Roth's unique identification number?
The Robert G Roth has been assigned the NPI (National Provider Identifier) Number 1538140785 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Robert G Roth's facilities are geographically located?
The facilities of Robert G Roth are physically situated at the following location: 120 N Country Rd, Port Jefferson, NY, 117772604.
What is Robert G Roth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert G Roth's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538140785 to Robert G Roth?
The Centers for Medicare & Medicaid Services originally issued the 1538140785 to Robert G Roth on 2005-11-07.
As of what date were the details related to Robert G Roth most recently updated or revised?
The information pertaining to Robert G Roth, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-25.