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NPI Code Detail

MEDICARE: ROCKLAND ORTHOPEDICS AND SPORTS MEDICINE PC

MEDICARE: ROCKLAND ORTHOPEDICS AND SPORTS MEDICINE PC
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
1174400000XSpecialist179160NY
2174400000XSpecialist086369NY
3174400000XSpecialist160306NY
4174400000XSpecialist187591NY
5174400000XSpecialist202294NY
6174400000XSpecialist235899NY
7174400000XSpecialist213531NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CA9479OTHERNYRAILROAD MEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20475172OTHERNYAETNA HMO GROUP #
38459449OTHERNYAETNA PPO GROUP#

General Provider Information

NPI Number : 1346257979
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKLAND ORTHOPEDICS AND SPORTS MEDICINE PC
Provider Business Mailing Address
First Line : 327 ROUTE 59
Second Line : COLONIAL SQUARE
City : AIRMONT
State : NY
Zip : 10952-3420
Country : US
Telephone Number : 845-356-2900
Fax Number : 845-356-7797
Provider Business Practice Location Address
First Line : 327 ROUTE 59
Second Line : COLONIAL SQUARE
City : AIRMONT
State : NY
Zip : 10952-3420
Country : US
Telephone Number : 845-356-2900
Fax Number : 845-356-7797
Authorized Official
Title or Position : RECEPTION/CREDENTIALING
Name : ELYSIA M
Credential :
Telephone Number : 845-356-2900
Provider Enumeration Date : 08/03/2006
Last Update Date : 04/20/2008

Similar Medicare Providers

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1932397841 — MRS. DEEPSHA KUNAL SHAH PT
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Practice Fax:
1689820763 — SHIVANI PUROHIT MD
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1265667471 — ARUP KUMAR BHADRA MRCS, MD
Practice Location Address:
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10952-3420
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Practice Fax: 845-356-7566

Directions to “ROCKLAND ORTHOPEDICS AND SPORTS MEDICINE PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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