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NPI Code Detail

MEDICARE: DR. LISA ROTHMAN

MEDICARE:  DR. LISA  ROTHMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristN005671NY

General Provider Information

NPI Number : 1477588838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA ROTHMAN
Provider Business Mailing Address
First Line : 658 E 233RD ST
Second Line :
City : BRONX
State : NY
Zip : 10466-2802
Country : US
Telephone Number : 718-798-9411
Fax Number : 718-798-9409
Provider Business Practice Location Address
First Line : 658 E 233RD ST
Second Line :
City : BRONX
State : NY
Zip : 10466-2802
Country : US
Telephone Number : 718-798-9411
Fax Number : 718-798-9409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 12/05/2007

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Directions to “ DR. LISA ROTHMAN ” Practice Location

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