Individual
DR. JON DAVID ROGOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
333 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2910
(347) 886-6762
Mailing address
333 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2910
(347) 886-6762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
018654-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
018654-1
NY
103TC0700X
Clinical Psychologist
Primary
018654-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
018654-1
NY
Other
Enumeration date
06/13/2012
Last updated
11/01/2012
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