Rotella, Angela

Rotella, Angela is an individual health care provider with primary practice located at 211 J.B. Wise Plaza , Watertown NY 13601. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Rotella, Angela can be contacted via phone (315) 782-7445.

Contact Information

Primary practice address
211 J.B. Wise Plaza Watertown NY 13601
Phone: (315) 782-7445
Fax: (315) 779-1184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 327890 New York

Profile Details

NPI number 1376022707
LBN Legal business name Rotella, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2018
Last updated Sep 17th, 2020 - about 6 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 1376022707 NPPES
New York MEDICAID 3372621

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