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Eileen Leary Roggemann
Other Specialist/Technologist in Medford, New York
NPI 1134616196

Eileen Leary Roggemann is a Other Specialist/Technologist based in Medford, NY. Eileen Leary Roggemann practices in Medford, NY. The NPI Number for Eileen Leary Roggemann is 1134616196 and holds a License No. 202986 (New York).

The current practice location address for Eileen Leary Roggemann is 1 Scouting Blvd, Medford, NY and can be reached out via phone at 631-297-3202.

Location: 1 Scouting Blvd, Medford, NY, 11763-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134616196
Provider Name
Eileen Leary Roggemann
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Scouting Blvd, Medford, NY, 11763-2220
Phone Number
631-297-3202
Fax Number
Provider Enumeration Date
04/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202986 01 NY SPECIAL EDUCATION PERMANENT
institution
Provider Business Practice Location Address Details
Address
1 Scouting Blvd
City
Medford
State
New York
Zip
11763-2220
Phone Number
631-297-3202
Fax Number
person
Provider Business Mailing Address Details
Address
1 Scouting Blvd
City
Medford
State
New York
Zip
11763-2220
Phone Number
631-297-3202
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
202986 (New York)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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