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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