Healthcare Provider Details

I. General information

NPI: 1801971924
Provider Name (Legal Business Name): MARGARET E ROGERS RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEWITT CLINTON HIGH SCHOOL 100 WEST MOSHOLU PKWY. SOUTH
BRONX NY
10468
US

IV. Provider business mailing address

86 FIELD ST
NORWALK CT
06851-1315
US

V. Phone/Fax

Practice location:
  • Phone: 718-549-8022
  • Fax:
Mailing address:
  • Phone: 718-549-8022
  • Fax: 718-549-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF330169
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: