Individual
MS. ANNIE ROHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RNC, NNP/PNP-BC
Contact information
Practice address
STONY BROOK HOSPITAL, NICU/LEVEL 5, STONY BROOK, NY 11794-0001
(631) 444-7653
Mailing address
2 EQUESTRIAN CT, STONY BROOK, NY 11790-1848
(631) 689-1438
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
F350017
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350017
NY
363LP0200X
Pediatric Nurse Practitioner
F380555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02043263
—
NY
Enumeration date
06/02/2006
Last updated
12/28/2012
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