Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 200422 | NY |
NPI | 1568485928 |
---|---|
Provider Name | Delia Rogu |
First Address | Hauppauge, NY 11788-9010 |
Second Address | West Islip, NY 11795-4927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 25/08/2009 |