Rotelli, Lisa Marie

Rotelli, Lisa Marie is an individual health care provider with primary practice located at 110 Decker Dr Ste 100 , Johnstown NY 12095-2157. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Rotelli, Lisa Marie can be contacted via phone (518) 762-6731.

Contact Information

Primary practice address
110 Decker Dr Ste 100 Johnstown NY 12095-2157
Phone: (518) 762-6731
Fax: (518) 762-7135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO-901 Alabama
Allopathic & Osteopathic Physicians / General Practice 208D00000X 229169 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 229169 New York

Profile Details

NPI number 1215953229
LBN Legal business name Rotelli, Lisa Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 29th, 2021 - about 5 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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