| Doctor Name: | DR. ROSARIO M GUALTIERI |
| NPI Number: | 1639388382 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 038398 |
| Business Practice Address: | 2601 Ditmars Blvd Astoria, NY - 111053122 |
| Business Phone Number: | 7187287919 |
| Business Fax Number: | |
| Mailing Address: | 2601 Ditmars Blvd, ASTORIA |
| State: | NY |
| Postal Code: | 111053122 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 038398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |