Individual
PATRICIA ANN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., A.N.P.
Contact information
Practice address
450 LAKEVILLE RD., LAKE SUCCESS, NY 11042
(516) 734-8070
(516) 734-8016
Mailing address
27 PECONIC DR, MASSAPEQUA, NY 11758
(516) 795-1742
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301644
NY
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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