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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SHAUN D RODGERS, MD
410 LAKEVILLE RD
SUITE 204
NEW HYDE PARK, NY11042-1101
 Medical school:
GEORGETOWN UNIVERSITY OF MEDICINE
Graduated 2007

 Phone: 516-354-3401
 Fax: 516-354-8597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHAUN D RODGERS · (Male)

NPI # 1003012568
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2007
Last updated 09/09/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036134910
  • NY License # 257509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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