Individual
MR. CHARLES ROTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
591 BURNSIDE AVE, INWOOD, NY 11096-1300
(516) 371-2828
(516) 371-7814
Mailing address
591 BURNSIDE AVE, INWOOD, NY 11096-1300
(516) 371-2828
(516) 371-7814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I033531
NY
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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