Individual
MARY BERNADETTE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 CRYSTAL ST, MONTICELLO, NY 12701-1323
(845) 790-0919
Mailing address
RPC - 45 ASHLEY AVE., MIDDLETOWN, NY 10940
(845) 326-8058
(845) 326-8155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
487522
NY
163WC1500X
Community Health Registered Nurse
487522
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
487522
NY
Other
Enumeration date
02/06/2017
Last updated
06/06/2024
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