Individual
MARK ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
100 E 77TH ST, EMERGENCY DEPARTMENT, NEW YORK, NY 10075-1850
(212) 434-2650
Mailing address
2800 MARCUS AVE, EMERGENCY DEPARTMENT, NEW HYDE PARK, NY 11042-1113
(212) 434-2650
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
161009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463038
—
NY
Enumeration date
09/29/2006
Last updated
02/29/2016
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