Individual provider · Type 1 NPI
Roget George Kidd, NP
Acute Care Nurse Practitioner · Mineola, NY
NPI number
1205709177
Active
Practice location
259 1st St
Mineola, NY 11501-3957
Mailing address
18634 Elmira Ave
St. Albans, NY 11412-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 433430 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1205709177
Roget George Kidd, NP's National Provider Identifier is 1205709177, issued on Sep 26, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Mineola, NY. The record was last updated on Sep 26, 2025.