Organization
ROGER S MADRIS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER SCOTT MADRIS M.D. (PRESIDENT)
(914) 253-6504
Entity
Organization
Contact information
Practice address
10 RYE RIDGE PLZ, SUITE 105, RYE BROOK, NY 10573-2828
(914) 253-6504
(914) 253-6507
Mailing address
10 RYE RIDGE PLZ, SUITE 105, RYE BROOK, NY 10573-2828
(914) 253-6504
(914) 253-6507
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00822564
—
NY
Enumeration date
06/03/2014
Last updated
06/03/2014
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