Provider Demographics
NPI:1740286947
Name:NOTO, ROCCO (MD)
Entity type:Individual
Prefix:DR
First Name:ROCCO
Middle Name:
Last Name:NOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 MAPLE HILL ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4176
Mailing Address - Country:US
Mailing Address - Phone:914-245-0256
Mailing Address - Fax:914-243-0236
Practice Address - Street 1:2000 MAPLE HILL ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4176
Practice Address - Country:US
Practice Address - Phone:914-245-0256
Practice Address - Fax:914-243-0236
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160117208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY61D801Medicare ID - Type Unspecified
A63481Medicare UPIN