Provider Demographics
NPI:1356592356
Name:ROTELLA, VITTORIO EMANUELE JR (MD)
Entity type:Individual
Prefix:DR
First Name:VITTORIO
Middle Name:EMANUELE
Last Name:ROTELLA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:800 POLY PL
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7104
Mailing Address - Country:US
Mailing Address - Phone:718-836-6600
Mailing Address - Fax:718-630-3707
Practice Address - Street 1:800 POLY PL
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7104
Practice Address - Country:US
Practice Address - Phone:718-836-6600
Practice Address - Fax:718-630-3707
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2013-12-18
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Provider Licenses
StateLicense IDTaxonomies
NY204805208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery