Organization
ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC
Active
Organization
ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JAMES RUOTOLO (MD)
(516) 795-3033
Entity
Organization
Contact information
Practice address
2339 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-2038
(516) 795-3033
(516) 590-7684
Mailing address
115 EILEEN WAY, SYOSSET, NY 11791-5302
(516) 795-3033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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