Individual
MR. RODOLFO A NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 WICKHAM AVE, MIDDLETOWN, NY 10940-3714
(845) 343-6461
(845) 343-7613
Mailing address
PO BOX 3006, MIDDLETOWN, NY 10940-0466
(845) 343-6461
(845) 343-7613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
191800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01642319
—
NY
Enumeration date
09/13/2005
Last updated
11/13/2018
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