Provider Demographics
NPI:1851323927
Name:RODGERS, WILLIAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:RODGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:56-45 MAIN ST
Mailing Address - Street 2:NYHQ-PATHOLOGY
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4592
Mailing Address - Country:US
Mailing Address - Phone:718-670-1141
Mailing Address - Fax:718-661-7745
Practice Address - Street 1:56-45 MAIN ST
Practice Address - Street 2:NYHQ-PATHOLOGY
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4592
Practice Address - Country:US
Practice Address - Phone:718-670-1141
Practice Address - Fax:718-661-7745
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063547207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400085951Medicare PIN
MDB00300Medicare UPIN
MDM209Medicare PIN