MEDICARE: ROBERT ROTEMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	185569	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871511865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ROTEMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX A
Second Line	:	ROMAR ANESTHESIA
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-0745
Country	:	US
Telephone Number	:	800-720-1664
Fax Number	:	207-753-2020

Provider Business Practice Location Address
First Line	:	32 NORTH WAY
Second Line	:	ROMAR ANESTHESIA
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2214
Country	:	US
Telephone Number	:	914-924-0916
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/07/2007

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