Provider Demographics
NPI:1831270453
Name:ROGERS, ADRIENNE R (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:R
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 WESTCHESTER AVE STE N715
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1369
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:914-457-1195
Practice Address - Street 1:3030 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2574
Practice Address - Country:US
Practice Address - Phone:914-607-6260
Practice Address - Fax:914-607-6261
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY178796208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM132625705OtherPOMCO
NY14732OtherHEALTH SOURCE
NY3488802004OtherCIGNA
NY01356716Medicaid
NY5553578OtherAETNA PPO
NY132625705OtherUNITED
NM132625705OtherEMPIRE PLAN
NY1C7497OtherHEALTH NET
NY1015261OtherAETNA HMO
NY540131OtherEMPIRE BCBS
NYP658369OtherOXFORD