Individual
DINA MARIE ROTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1445 PORTLAND AVE, SUITE 108, ROCHESTER, NY 14621-3036
(585) 922-5550
(585) 922-5950
Mailing address
1445 PORTLAND AVE, SUITE 108, ROCHESTER, NY 14621-3036
(585) 922-5550
(585) 922-5950
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
F333779
NY
363LF0000X
Family Nurse Practitioner
F333779
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02591335
—
NY
Enumeration date
08/05/2006
Last updated
04/03/2008
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