Individual
CAROL M ROGERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CONP
Contact information
Practice address
30 HARRISON ST, SUITE 100, JOHNSON CITY, NY 13790-2161
(607) 763-6850
(607) 763-6703
Mailing address
30 HARRISON ST, SUITE 100, JOHNSON CITY, NY 13790-2161
(607) 763-6850
(607) 763-6703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F3700121
NY
363LF0000X
Family Nurse Practitioner
Primary
F3301131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204277
—
NY
Enumeration date
10/17/2005
Last updated
09/11/2025
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