Olitsa Roth, Md
Pediatric Adolescent Medicine
Olitsa Roth, Md is a Brooklyn, New York based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
5211 15th Ave, Brooklyn, New York - 11219-1460. They can be contacted on phone at
718-851-7444 and fax number 718-851-9594.
NPI number (Unique professional ID) for Olitsa Roth, Md is
1407297245 which was assigned by NPPES on 09 Jul, 2013 and it was last updated on 09 Jul, 2013.
Olitsa Roth, Md license number is
148687 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Olitsa Roth, Md specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Olitsa Roth, Md basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Olitsa Roth, Md |
|---|
Business Address:
Olitsa Roth, Md address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5211 15th Ave
Brooklyn, NY, 11219-1460
United States |
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| Phone Number : | 718-851-7444 |
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| Fax Number : | 718-851-9594 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407297245 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 Jul, 2013 |
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| Last Updated On : | 09 Jul, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Rosalyn Schnitzler |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 718-851-7444 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Olitsa Roth, Md are as mentioned. Primary taxonomy code for Olitsa Roth, Md is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 148687 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Olitsa Roth, Md such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00715820 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5211 15th Ave
Brooklyn, NY, 11219-1460
United States |
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| Phone Number : | 718-851-7444 |
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| Fax Number : | 718-851-9594 |
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Business Location:
Patients can refer following map for directions to
Olitsa Roth, Md practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.