Dr Anthony Dominick Rotella, DO | |
308 W Seneca St, Manlius, NY 13104-2318 | |
(315) 682-5080 | |
(315) 628-2150 |
Full Name | Dr Anthony Dominick Rotella |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 308 W Seneca St, Manlius, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134356249 | NPI | - | NPPES |
03456851 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 264788 (New York) | Primary |
Entity Name | Familycare Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447212063 PECOS PAC ID: 5193639565 Enrollment ID: O20031119000053 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Dominick Rotella, DO 1001 W Fayette St Ste 400, Syracuse, NY 13204-2866 Ph: (315) 937-3026 | Dr Anthony Dominick Rotella, DO 308 W Seneca St, Manlius, NY 13104-2318 Ph: (315) 682-5080 |
Dr. Philip Kaplan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Fairgrounds Drive, Manlius, NY 13104 Phone: 315-682-6165 Fax: 315-682-7929 | |
Lori L Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 308 W Seneca St, Manlius, NY 13104 Phone: 315-682-5080 Fax: 315-682-8847 | |
Dr. Jarrod Lawrence Bagatell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Fairgrounds Drive, Manlius, NY 13104 Phone: 315-682-6165 Fax: 315-682-7929 | |
Paraskos Araouzos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Pewter Ln, Manlius, NY 13104 Phone: 315-682-6600 Fax: 315-682-0570 | |
Dr. Henry M. Eisenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 Gadwall Ln, Manlius, NY 13104 Phone: 315-682-0055 Fax: 315-682-0056 | |
Dr. Karen Oliver Nardella, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Fairgrounds Drive, Manlius, NY 13104 Phone: 315-682-6165 Fax: 315-682-7929 |