Individual
SUSANNE ROGGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
39 DUNCAN ST, WARSAW, NY 14569-1017
(585) 786-0190
(585) 786-0196
Mailing address
39 DUNCAN ST, WARSAW, NY 14569-1017
(585) 786-0190
(585) 786-0196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
658075
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403777
NY
Other
Enumeration date
10/29/2013
Last updated
01/19/2022
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