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NPI Code Detail

MEDICARE: THE ROGOSIN INSTITUTE, INC

MEDICARE: THE ROGOSIN INSTITUTE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629220090
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ROGOSIN INSTITUTE, INC
Provider Business Mailing Address
First Line : 504-506 EAST 74TH STREET
Second Line : 5TH FLOOR
City : NEW YORK
State : NY
Zip : 10021-3486
Country : US
Telephone Number : 646-317-0684
Fax Number : 212-249-4659
Provider Business Practice Location Address
First Line : 525 EAST 68TH STREET
Second Line : 2 NORTH
City : NEW YORK
State : NY
Zip : 10021-4872
Country : US
Telephone Number : 212-746-1578
Fax Number : 212-746-8937
Authorized Official
Title or Position : CHEIF OPERATING OFFICER
Name : DR. BRUCE R GORDON
Credential : M.D.
Telephone Number : 212-746-1554
Provider Enumeration Date : 10/16/2008
Last Update Date : 04/09/2015

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Directions to “THE ROGOSIN INSTITUTE, INC ” Practice Location

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