Provider Demographics
NPI:1629220090
Name:THE ROGOSIN INSTITUTE, INC
Entity Type:Organization
Organization Name:THE ROGOSIN INSTITUTE, INC
Other - Org Name:APHERESIS
Other - Org Type:Other Name
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:R
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-746-1554
Mailing Address - Street 1:504-506 EAST 74TH STREET
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3486
Mailing Address - Country:US
Mailing Address - Phone:646-317-0684
Mailing Address - Fax:212-249-4659
Practice Address - Street 1:525 EAST 68TH STREET
Practice Address - Street 2:2 NORTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4872
Practice Address - Country:US
Practice Address - Phone:212-746-1578
Practice Address - Fax:212-746-8937
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ROGOSIN INSTITUTE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-16
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00481732Medicaid
NY00481732Medicaid