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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EILEEN LEARY ROGGEMANN

Active Sole Proprietor

EILEEN LEARY ROGGEMANN is a Specialist/Technologist, Surgical healthcare provider located in MEDFORD, New York. NPI 1134616196 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · MEDFORD, NY

Registration Details

NPI Number
1134616196
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2018 (8.3652752081733 yrs)
Last Updated
Apr 16, 2018
License
202986 (NY)
Sole Proprietor
Yes

Practice Information

Address
1 SCOUTING BLVD
MEDFORD, NY, 117632220
Browse NY providers · Browse ZIP 11763
Phone
6312973202
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.