Provider Demographics
NPI:1932129681
Name:ROITHMAYR, STEVE A (PHD, MSW)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:A
Last Name:ROITHMAYR
Suffix:
Gender:M
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ANN AVE
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-3111
Mailing Address - Country:US
Mailing Address - Phone:845-429-2303
Mailing Address - Fax:845-786-3115
Practice Address - Street 1:7 ANN AVE
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-3111
Practice Address - Country:US
Practice Address - Phone:845-429-2303
Practice Address - Fax:845-786-3115
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR021587-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN32821Medicare ID - Type Unspecified