Healthcare Provider Details

I. General information

NPI: 1578123139
Provider Name (Legal Business Name): TAMMY MARIE ROTONDE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMMY MARIE COFFEY PA-C

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 4TH ST
MALONE NY
12953-1350
US

IV. Provider business mailing address

9 CAREY RD
QUEENSBURY NY
12804-7880
US

V. Phone/Fax

Practice location:
  • Phone: 518-824-2562
  • Fax: 833-941-5091
Mailing address:
  • Phone: 518-761-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number023531
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: