Doctor Name: | MR. RODOLFO A NAZARIO |
NPI Number: | 1730174111 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 191800 |
Business Practice Address: | 210 E Main St Middletown, NY - 109404038 |
Business Phone Number: | 8453436461 |
Business Fax Number: | 8453437613 |
Mailing Address: | Po Box 3006, MIDDLETOWN |
State: | NY |
Postal Code: | 109400466 |
Phone Number: | 8453436461 |
Fax Number: | 8453437613 |
NPI Enumeration Date: | 09/13/2005 |
NPI Last Update Date: | 10/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 191800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |