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Organization
RUOTSI AND BERTOLINO, MD PC
Active
Organization
RUOTSI AND BERTOLINO, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCINE R WARNER (OFFICE MANAGER)
(716) 297-1153
Entity
Organization
Contact information
Practice address
5320 MILITARY RD, SUITE #104, LEWISTON, NY 14092-2149
(716) 297-1153
(716) 297-5458
Mailing address
5320 MILITARY RD, SUITE #104, LEWISTON, NY 14092-2149
(716) 297-1153
(716) 297-5458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
175439
NY
207Q00000X
Family Medicine Physician
Primary
180670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010015801
UNIVERA
NY
01
—
00010152201
UNIVERA
NY
01
—
00026547001
UNIVERA
NY
01
—
0106422
IHA
NY
01
—
0106423
IHA
NY
01
—
9511968
IHA
NY
Enumeration date
12/15/2005
Last updated
02/18/2008
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