=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457629875
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE ROGOSIN INSTITUTE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/13/2011
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 430 E 71ST ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021-4826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-772-6700
-----------------------------------------------------
Fax | 212-861-9473
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 430 E 71ST ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021-4826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-772-6700
-----------------------------------------------------
Fax | 212-861-9473
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OPERATING OFFICER
-----------------------------------------------------
Name | ALLYSON Z. PIFKO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 646-317-0698
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number | 3240
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------