Organization · Type 2 NPI
Gwendolyn Rogers, Lac P-Llc
Clinic/Center · Endicott, NY
NPI number
1801702402
Active
Practice location
31 Adams Ave Ste 4
Endicott, NY 13760-5734
Mailing address
1 John St
Ithaca, NY 14850-6350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1801702402
Gwendolyn Rogers, Lac P-Llc's National Provider Identifier is 1801702402, issued on Aug 22, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Endicott, NY. The record was last updated on Aug 22, 2026.