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Individual

DR. RONALD J GULOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 365-5599
(516) 365-6622
Mailing address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 365-5599
(516) 365-6622

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
178124
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01401990
NY
Enumeration date
05/01/2006
Last updated
01/07/2011
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