Individual
DWAYNE ERIC ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25302 147TH AVE, ROSEDALE, NY 11422-2541
(718) 978-5447
(718) 978-8752
Mailing address
25302 147TH AVE, ROSEDALE, NY 11422-2541
(718) 978-5447
(718) 978-8752
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
222755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02413427
—
NY
Enumeration date
05/24/2006
Last updated
10/17/2023
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