Provider Demographics
NPI:1144572231
Name:ROGERS, SAMANTHA CARI (RD, CDN, CNSC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:CARI
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RD, CDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 65TH ST
Mailing Address - Street 2:APT 9D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6943
Mailing Address - Country:US
Mailing Address - Phone:516-819-2022
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:NEW YORK-PRESBYTERIAN/WEILL CORNELL, SUITE 6-338D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-0850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric