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Dr. Malcolm Zachary Roth, MD,FACS
Plastic and Reconstructive Surgery Physician in Brooklyn, New York
NPI 1598775884

Malcolm Zachary Roth is a Plastic and Reconstructive Surgery Physician based in Brooklyn, NY and is specialized in Plastic and Reconstructive Surgery. Malcolm Zachary Roth practices in Brooklyn, NY and has the professional credentials of MD,FACS. The NPI Number for Malcolm Zachary Roth is 1598775884 and holds a License No. 158057 (New York).

The current practice location address for Malcolm Zachary Roth is 925 49Th St, Brooklyn, NY and can be reached out via phone at 718-283-7022 and via fax at 718-283-8123.

Location: 925 49Th St, Brooklyn, NY, 11219-2923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598775884
Provider Name
Malcolm Zachary Roth
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
925 49Th St, Brooklyn, NY, 11219-2923
Phone Number
718-283-7022
Fax Number
718-283-8123
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01094444 05 NY
0015625 01 GHI
26E721 01 BCBS
institution
Provider Business Practice Location Address Details
Address
925 49Th St
City
Brooklyn
State
New York
Zip
11219-2923
Phone Number
718-283-7022
Fax Number
718-283-8123
person
Provider Business Mailing Address Details
Address
925 49Th St
City
Brooklyn
State
New York
Zip
11219-2923
Phone Number
718-283-7022
Fax Number
718-283-8123
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
158057 (New York)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
158057 (New York)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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