Healthcare Provider Details

I. General information

NPI: 1932129681
Provider Name (Legal Business Name): STEVE A ROITHMAYR PHD, MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 ANN AVE
STONY POINT NY
10980-3111
US

IV. Provider business mailing address

7 ANN AVE
STONY POINT NY
10980-3111
US

V. Phone/Fax

Practice location:
  • Phone: 845-429-2303
  • Fax: 845-786-3115
Mailing address:
  • Phone: 845-429-2303
  • Fax: 845-786-3115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPR021587-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: