Madris, Roger Scott

Madris, Roger Scott is an sole proprietor health care provider with primary practice located at 14 Rye Ridge Plz Suite 151, Rye Brook NY 10573-2826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Madris, Roger Scott can be contacted via phone (914) 253-6504.

Contact Information

Primary practice address
14 Rye Ridge Plz Suite 151 Rye Brook NY 10573-2826
Phone: (914) 253-6504
Fax: (914) 253-6507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 145912 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 040132 Connecticut

Profile Details

NPI number 1275680415
LBN Legal business name Madris, Roger Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275680415 NPPES
Connecticut MEDICAID 3115137

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