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Individual
MARY CLARE ROGALA
Active
Individual
MARY CLARE ROGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP;PA C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1975931
NY
163W00000X
Registered Nurse
RN15737L
PA
363A00000X
Physician Assistant
00022321
NY
363L00000X
Nurse Practitioner
RN960459
DC
363LA2200X
Adult Health Nurse Practitioner
TP000299C
PA
Other
Enumeration date
08/11/2006
Last updated
09/11/2025
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