Individual
MR. ANDREW S ROTJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, AGACNP-BC
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 396-6150
Mailing address
2005 SALEM RD, MERRICK, NY 11566-1612
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
431432
NY
363LF0000X
Family Nurse Practitioner
Primary
339649
NY
Other
Enumeration date
05/29/2015
Last updated
10/31/2018
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