Individual
DAVID R. ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4134
(518) 243-1417
Mailing address
1462 ERIE BLVD, SUITE 2, SCHENECTADY, NY 12305-1026
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
127137
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000043338
GHI- HMO
NY
01
—
000443020001
BLUE SHIELD
NY
01
—
040426010815
FIDELIS
NY
01
—
10018258
CDPHP
NY
01
—
10454627
CAQH
NY
01
—
127137-8W
WORKERS COMP
NY
01
—
32118
MVP
NY
01
—
69E521
BLUE CROSS
NY
01
—
7917521
AETNA
NY
01
—
9691727
GHI-PPO
NY
Enumeration date
05/18/2006
Last updated
07/08/2007
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