Individual
EDWARD GERARD ROHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4460
Mailing address
204 KENT ST, WINDSOR, NY 13865-2405
(607) 773-4460
(607) 773-4125
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
578257
NY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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