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1821386087
MICHAEL ROTA
STATEN ISLAND, NY
NPI
1821386087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 014888)
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
Mr. MICHAEL ROTA PA
251 RICHMOND HILL RD
STATEN ISLAND, NY 10314-5906
Phone number: 718-761-2800
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Mailing Address
Mr. MICHAEL ROTA PA
843 TYSENS LN
STATEN ISLAND, NY 10306-5661
Phone number:
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