Ruotolo, Charles James

Ruotolo, Charles James is an sole proprietor health care provider with primary practice located at 5500 Merrick Rd , Massapequa NY 11758-6231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Ruotolo, Charles James can be contacted via phone (516) 795-3033.

Contact Information

Primary practice address
5500 Merrick Rd Massapequa NY 11758-6231
Phone: (516) 795-3033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 216303-1 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 216303-1 New York

Profile Details

NPI number 1255307443
LBN Legal business name Ruotolo, Charles James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Aug 19th, 2009 - about 15 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 1255307443 NPPES
New York MEDICAID 02175455

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