Individual
DR. TANYA ORIE ROGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1276 FULTON AVE RM 208, BRONX, NY 10456-3402
(171) 890-1891
(718) 901-8918
Mailing address
1276 FULTON AVE RM 208, BRONX, NY 10456-3402
(718) 901-8918
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13436
RI
208000000X
Pediatrics Physician
288135
NY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD13436
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
939025129
RI MEDICARE GROUP
RI
Enumeration date
05/05/2008
Last updated
07/20/2021
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