Provider Demographics
NPI:1376728055
Name:ROGERS, DONNA MARIE (AAS, BSN, MS)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:ROGERS
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Gender:F
Credentials:AAS, BSN, MS
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Mailing Address - Street 1:1400 PELHAM PKWY S
Mailing Address - Street 2:NICU
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1138
Mailing Address - Country:US
Mailing Address - Phone:718-918-6375
Mailing Address - Fax:718-918-7945
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:NICU
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:718-918-6375
Practice Address - Fax:718-918-7945
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-01
Last Update Date:2014-05-02
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Provider Licenses
StateLicense IDTaxonomies
NYF350211-1363LN0000X
FL2866632363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal