Individual
JAMES ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8700
Mailing address
4 WRIGHT DR, DIX HILLS, NY 11746-6149
(631) 559-7833
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017174
NY
Other
Enumeration date
11/15/2013
Last updated
09/12/2022
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