Individual
ANTHONY M COTRONEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 N GEORGE ST, ROME, NY 13440-4159
(315) 336-8260
(315) 314-8536
Mailing address
608 N GEORGE ST, ROME, NY 13440-4159
(315) 336-8260
(315) 314-8536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
178689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01186805
—
NY
01
—
085473
MVP
NY
01
—
10031653
CDPHP
—
01
—
5950354
AETNA
NY
01
—
P010178689
BLUE CROSS
NY
01
—
Y029134
CHAMPUS
—
Enumeration date
08/22/2006
Last updated
02/05/2016
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