Individual
JOHN ROBERT ROTTKAMP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-2000
Mailing address
PO BOX 10049, NEW YORK, NY 10259-0049
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
162912-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01188247
—
NY
Enumeration date
07/08/2005
Last updated
07/08/2007
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