Individual
ALYSHA ROTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 COUNTY ROUTE 12, NEW HAMPTON, NY 10958-4508
(845) 674-2514
Mailing address
814 COUNTY ROUTE 12, NEW HAMPTON, NY 10958-4508
(845) 674-2514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
748506
NY
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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