Individual
DR. ANDREW D ROGOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 E MAIN ST, SUITE 1, BAY SHORE, NY 11706-8415
(631) 666-4767
(631) 665-2153
Mailing address
370 E MAIN ST, SUITE 1, BAY SHORE, NY 11706-8415
(631) 666-4767
(631) 665-2153
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
230926-1
NY
2084V0102X
Vascular Neurology Physician
Primary
230926-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663454
—
NY
Enumeration date
05/04/2006
Last updated
02/28/2020
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