Individual
DR. ROGER PATRON LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56-45 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2989
Mailing address
888 MAIN ST APT 815, NEW YORK, NY 10044-0223
(203) 435-0878
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
01082313A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
307043
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01082313A
MEDICAL LICENSE
IN
01
—
307043
MEDICAL LICENSE
NY
Enumeration date
05/19/2014
Last updated
12/04/2023
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