Individual
DR. ELENA A ROGOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 NETHERLAND AVE, STE. 110, BRONX, NY 10463-4801
(718) 432-8181
(718) 432-9191
Mailing address
2600 NETHERLAND AVE, STE. 110, BRONX, NY 10463-4801
(718) 432-8181
(718) 432-9191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209860
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01828808
—
NY
Enumeration date
07/26/2005
Last updated
11/01/2012
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