Individual
DR. ANTHONY DOMINICK ROTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
308 W SENECA ST, MANLIUS, NY 13104-2318
(315) 682-5080
(315) 628-2150
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3026
(315) 937-3126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
264788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03456851
—
NY
Enumeration date
06/16/2009
Last updated
06/04/2024
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