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Organization
RBK PEDIATRICS
Active
Organization
RBK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ROGU MD (ADMINSITRATOR)
(631) 499-4114
Entity
Organization
Contact information
Practice address
646 COMMACK RD, COMMACK, NY 11725-5426
(631) 499-4114
Mailing address
646 COMMACK RD, COMMACK, NY 11725-5426
(631) 499-4114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598046724
—
NY
Enumeration date
01/06/2017
Last updated
01/06/2017
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