Rodgers, Philip Gerard

Rodgers, Philip Gerard is an sole proprietor health care provider with primary practice located at 16 Gary St , Port Jefferson Station NY 11776-2870. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Rodgers, Philip Gerard can be contacted via phone (631) 828-2792.

Contact Information

Primary practice address
16 Gary St Port Jefferson Station NY 11776-2870
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 446862 New York

Profile Details

NPI number 1790010833
LBN Legal business name Rodgers, Philip Gerard
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2009
Last updated Oct 7th, 2009 - about 15 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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