Individual
HARVEY IRA ROGERS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
100 ROUTE 59, AIRMONT, NY 10901-4927
(845) 369-9701
(845) 369-1004
Mailing address
100 ROUTE 59, AIRMONT, NY 10901-4927
(845) 369-9701
(845) 369-1004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19655
CASAC
NY
Enumeration date
06/15/2016
Last updated
06/15/2016
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