Individual
BRENDAN LAINE ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 PELHAM PKWY N, STE. 402, BRONX, NY 10467-8032
(718) 519-8326
(718) 881-8714
Mailing address
655 PELHAM PKWY N, STE. 402, BRONX, NY 10467-8032
(718) 519-8326
(718) 881-8714
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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