Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000266 | CT |
NPI | 1073924635 |
---|---|
Provider Name | Andrea Deborah Rotelli |
First Address | Woodstock, NY 12498 |
Second Address | New York, NY 10001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2014 |
Last Update Date | 16/05/2014 |