Rothman, Ilene L

Rothman, Ilene L is an individual health care provider with primary practice located at Elm And Carlton St , Buffalo NY 14263-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Rothman, Ilene L can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
Elm And Carlton St Buffalo NY 14263-0001
Phone: (716) 845-2300
Fax: (716) 845-7601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 171696 New York
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 171696 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 171696 New York

Profile Details

NPI number 1801852876
LBN Legal business name Rothman, Ilene L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801852876 NPPES
New York MEDICAID 01195468

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