Provider Demographics
NPI:1669552154
Name:POSITANO, ROCK GERARD (PODIATRIST)
Entity type:Individual
Prefix:DR
First Name:ROCK
Middle Name:GERARD
Last Name:POSITANO
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Gender:M
Credentials:PODIATRIST
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Mailing Address - Street 1:519 EAST 72ND STREET
Mailing Address - Street 2:SUITE 203A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4028
Mailing Address - Country:US
Mailing Address - Phone:212-606-1858
Mailing Address - Fax:212-774-2687
Practice Address - Street 1:519 EAST 72ND STREET
Practice Address - Street 2:SUITE 203A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4028
Practice Address - Country:US
Practice Address - Phone:212-606-1858
Practice Address - Fax:212-774-2687
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2012-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYNOO4482-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT71193Medicare UPIN