Individual
ALISON ROTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 W BUFFALO ST, ITHACA, NY 14850-4124
(412) 315-8443
Mailing address
602 W SENECA ST APT 3B, ITHACA, NY 14850-3348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027819
FA
NY
Enumeration date
08/03/2018
Last updated
08/03/2018
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