Individual provider · Type 1 NPI
Philip Gerard Rodgers, RN
Adult Psychiatric/Mental Health Registered Nurse · Port Jefferson Station, NY
NPI number
1790010833
Active
Practice location
16 Gary St
Port Jefferson Station, NY 11776-2870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 446862 (NY) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1790010833
Philip Gerard Rodgers, RN's National Provider Identifier is 1790010833, issued on Oct 7, 2009. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 7, 2009.