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Individual

DR. SHAUN DAVID RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 LAKEVILLE RD, SUITE 204, NEW HYDE PARK, NY 11042-1101
(516) 354-3401
(516) 354-8597
Mailing address
410 LAKEVILLE RD, SUITE 204, NEW HYDE PARK, NY 11042-1101
(516) 354-3401
(516) 354-8597

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036134910
IL
207T00000X
Neurological Surgery Physician
Primary
257509
NY

Other

Enumeration date
06/22/2007
Last updated
09/09/2015
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