National Provider Identifier
Gary John Rolen
Gary John Rolen is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 546-3046.
Profile Overview
- NPI
- 1588168165
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- March 20, 2018
- Last Updated
- March 20, 2018
Practice Location
- 79 N Clinton Ave
- Rochester, NY 14604-1407
Phone: (585) 546-3046
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1588168165
- Entity Type
- Individual
- Last Name
- Rolen
- First Name
- Gary
- Middle Name
- John
- Name Prefix
- Mr.
- Mailing Street Address
- 79 N Clinton Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604-1407
- Mailing Country
- US
- Mailing Phone
- (585) 546-3046
- Mailing Fax
- (585) 546-2607
- Practice Street Address
- 79 N Clinton Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604-1407
- Practice Country
- US
- Practice Phone
- (585) 546-3046
- Practice Fax
- (585) 546-2607
- Enumeration Date
- March 20, 2018
- Last Updated
- March 20, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)