Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 182428 | NY |
NPI | 1174626410 |
---|---|
Provider Name | Rolando Jose Rojas |
First Address | Wallkill, NY 12589-3223 |
Second Address | Carmel, NY 10512-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 15/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D67674 | (02) | NY |