Provider Demographics
NPI:1043790736
Name:THE ROGOSIN INSTITUTE INC
Entity Type:Organization
Organization Name:THE ROGOSIN INSTITUTE INC
Other - Org Name:ROGOSIN BROOKDALE CAMPUS
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:ZALETTA
Authorized Official - Last Name:PIFKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-317-0698
Mailing Address - Street 1:505 E 70TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4872
Mailing Address - Country:US
Mailing Address - Phone:212-746-1578
Mailing Address - Fax:212-746-8483
Practice Address - Street 1:9701 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3137
Practice Address - Country:US
Practice Address - Phone:718-495-4680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7002122ROtherNEW YORK STATE DEPARTMENT OF HEALTH