Individual
MICHAEL ROTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 CENTRAL AVE, SUITE 107, LAWRENCE, NY 11559
(516) 239-8877
(516) 239-1104
Mailing address
290 CENTRAL AVE, SUITE 107, LAWRENCE, NY 11559
(516) 239-8877
(516) 239-1104
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
210711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02602399
—
NY
Enumeration date
07/28/2006
Last updated
09/17/2007
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