Organization
CENTRAL CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROTMAN (TREASURER)
(516) 239-8877
Entity
Organization
Contact information
Practice address
290 CENTRAL AVE, LAWRENCE, NY 11559-8507
(516) 239-6429
Mailing address
290 CENTRAL AVE, LAWRENCE, NY 11559-8507
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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