| Mrs Rebecca Dottolo, NP | |
|
510 S 4th St, Fulton, NY 13069-2904 | |
| (315) 592-3500 | |
| Not Available |
| Full Name | Mrs Rebecca Dottolo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 510 S 4th St, Fulton, 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 |
|---|---|---|---|
| 1053672261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 603366 (New York) | Primary |
| Entity Name | Auburn Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093712911 PECOS PAC ID: 2365346525 Enrollment ID: O20031120000617 |
| Entity Name | Auburn Memorial Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194913749 PECOS PAC ID: 6406931385 Enrollment ID: O20080318000053 |
| Entity Name | Port City Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134370547 PECOS PAC ID: 0345301917 Enrollment ID: O20081202000420 |
| Entity Name | Fulton Family Medicine Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275806036 PECOS PAC ID: 4385806587 Enrollment ID: O20120504000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rebecca Dottolo, NP 510 S 4th St, Fulton, NY 13069-2904 Ph: (315) 592-3500 | Mrs Rebecca Dottolo, NP 510 S 4th St, Fulton, NY 13069-2904 Ph: (315) 592-3500 |
Edwige Tonye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 98 N 2nd St, Fulton, NY 13069 Phone: 315-326-3555 Fax: 315-326-3565 | |
Samantha Goutermout, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 S 4th St, Fulton, NY 13069 Phone: 315-592-3930 Fax: 315-592-3932 | |
Mrs. Cheryl Susan Martin-schroeder, M.S.N.,P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 63 S 1st St, Fulton, NY 13069 Phone: 315-598-6785 Fax: 315-592-3571 | |
Shannon M Woods, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 98 N 2nd St, Fulton, NY 13069 Phone: 315-326-3555 | |
Anthony Bryant, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 S 4th St Ste 600, Fulton, NY 13069 Phone: 315-598-4790 Fax: 315-593-6195 | |
Mrs. Joanne Lomber, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 941 S 1st St, Fulton, NY 13069 Phone: 315-593-1729 |