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Contact Information

CHARLES J RUOTOLO, MD
5500 MERRICK RD
MASSAPEQUA, NY11758-6231
 Phone: 516-795-3033
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES J RUOTOLO · (Male)

NPI Number 1255307443
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2006
Last updated 08/19/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 216303-1
  • NY Medicaid 02175455
Hospital affiliation(s)
  • NASSAU UNIVERSITY MEDICAL CENTER - (Acute Care)
    2201 HEMPSTEAD TURNPIKE
    EAST MEADOW, NY 11554
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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