Rothberg, Charles

Rothberg, Charles is an individual health care provider with primary practice located at 331 East Main St , Patchogue NY 11772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rothberg, Charles can be contacted via phone (631) 758-5300.

Contact Information

Primary practice address
331 East Main St Patchogue NY 11772
Phone: (631) 758-5300
Fax: (631) 758-5301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 165064 New York

Profile Details

NPI number 1326132184
LBN Legal business name Rothberg, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 13th, 2008 - about 16 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 1326132184 NPPES
New York MEDICAID 01020864
New York Other 01E642
New York Other 1688
New York Other CS755

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