| Doctor Name: | ELIZABETH ROH |
| NPI Number: | 1972628873 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 115373 |
| Business Practice Address: | 1500 Waters Pl Bronx, NY - 104612723 |
| Business Phone Number: | 7189310600 |
| Business Fax Number: | |
| Mailing Address: | 2 Walnut Ct, WHITE PLAINS |
| State: | NY |
| Postal Code: | 106055110 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 115373 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |