Individual
DR. IGNATIUS DANIEL ROGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91-31 QUEENS BLVD, SUITE 301, ELMHURST, NY 11373
(718) 205-2100
Mailing address
91-31 QUEENS BLVD, SUITE 301, ELMHURST, NY 11373
(718) 205-2100
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
149774
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
149774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00711739
—
NY
Enumeration date
01/02/2007
Last updated
07/07/2025
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