Individual
ROGET GEORGE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
18634 ELMIRA AVE, SAINT ALBANS, NY 11412-1518
(347) 251-9235
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433430
NY
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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