| Michelle B Rogers Llc | |
|
10 Amalia Ln Commack NY 11725-1811 | |
| (516) 404-3959 | |
| Not Available |
| Full Name | Michelle B Rogers Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10 Amalia Ln, Commack, New York |
| Authorized Official Name and Position | Michelle Rogers (PRESIDENT/OWNER) |
| Authorized Official Contact | 5164043959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle B Rogers Llc 10 Amalia Ln Commack NY 11725-1811 Ph: (516) 404-3959 | Michelle B Rogers Llc 10 Amalia Ln Commack NY 11725-1811 Ph: (516) 404-3959 |
| NPI Number | 1801489612 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Certification Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801489612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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