Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Rebecca Dottolo, NP

Individual provider Family Nurse Practitioner · NPI 1053672261

Mrs. Rebecca Dottolo, NP is a Nurse Practitioner in Fulton, New York. Qualified in 2012, 14 years ago. Practices with Port City Emergency Physicians LLP, a 48-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

510 S 4th St
Fulton, NY 13069-2904
Phone: (315) 592-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 603366 (NY)

Record details

NPI number1053672261
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 4, 2012
Last updated in NPPESSeptember 24, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Port City Emergency Physicians Llp — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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