PHILIP GERARD RODGERS

PORT JEFFERSON STATION, NY
NPI1790010833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY  446862)
Enumeration Date2009-10-07
Last Update Date2009-10-07
Business Address
-- PHILIP GERARD RODGERS RN
16 GARY ST
PORT JEFFERSON STATION, NY 11776-2870
Phone number: 631-828-2792
Mailing Address
-- PHILIP GERARD RODGERS RN
16 GARY ST
PORT JEFFERSON STATION, NY 11776-2870
Phone number: 631-828-2792