Provider Demographics
NPI:1760052195
Name:ROH, ARTHUR C (PHD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:C
Last Name:ROH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 3RD AVE APT 14H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5522
Mailing Address - Country:US
Mailing Address - Phone:323-896-9477
Mailing Address - Fax:
Practice Address - Street 1:115 W 30TH ST RM 709
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4068
Practice Address - Country:US
Practice Address - Phone:646-902-1995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024363103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist