Nazario, Rodolfo A

Nazario, Rodolfo A is an sole proprietor health care provider with primary practice located at 129 Wickham Ave , Middletown NY 10940-3714. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Nazario, Rodolfo A can be contacted via phone (845) 343-6461.

Contact Information

Primary practice address
129 Wickham Ave Middletown NY 10940-3714
Fax: (845) 343-7613
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 191800 New York

Profile Details

NPI number 1730174111
LBN Legal business name Nazario, Rodolfo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Nov 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730174111 NPPES
New York MEDICAID 01642319

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