Provider Demographics
NPI:1366256828
Name:ROGERS, MONICA (CO)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4551 SUNRISE HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-4637
Mailing Address - Country:US
Mailing Address - Phone:631-928-3040
Mailing Address - Fax:
Practice Address - Street 1:4551 SUNRISE HWY STE 2
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-4637
Practice Address - Country:US
Practice Address - Phone:631-928-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist