Provider Demographics
NPI:1003872995
Name:AQUINO, ROSITA NG (MD)
Entity Type:Individual
Prefix:
First Name:ROSITA
Middle Name:NG
Last Name:AQUINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSITA
Other - Middle Name:NG
Other - Last Name:AQUINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:105 CAMPBELL ROAD
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815
Mailing Address - Country:US
Mailing Address - Phone:607-336-1550
Mailing Address - Fax:
Practice Address - Street 1:105 CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-3330
Practice Address - Country:US
Practice Address - Phone:607-336-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143390207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00685507Medicaid
NYRA38593BMedicare ID - Type Unspecified
B82106Medicare UPIN