Individual
ILENE L ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-7601
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-7601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
171696
NY
207NP0225X
Pediatric Dermatology Physician
171696
NY
207NS0135X
Procedural Dermatology Physician
171696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01195468
—
NY
Enumeration date
04/26/2006
Last updated
02/09/2021
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