Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 270454 | NY |
Y | 2086S0127X | Trauma Surgeon | 270454 | NY |
N | 2086S0127X | Trauma Surgeon | 9901013 | NC |
NPI | 1265420681 |
---|---|
Provider Name | Dr. Michael F Rotondo |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 25/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1232A | BCBS NC (01) | NC |
20043809 | RAILROAD MEDICARE (01) | NC |
891232A | (05) | NC |
E81230 | (02) | NC |