Provider Demographics
NPI:1194792028
Name:THE ROGOSIN INSTITUTE INC.
Entity type:Organization
Organization Name:THE ROGOSIN INSTITUTE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:PIFKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-317-0698
Mailing Address - Street 1:6620 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5119
Mailing Address - Country:US
Mailing Address - Phone:718-457-3000
Mailing Address - Fax:212-327-1906
Practice Address - Street 1:6620 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5119
Practice Address - Country:US
Practice Address - Phone:718-457-3000
Practice Address - Fax:212-327-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002122R261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7002122ROtherOPERATING CERTIFICATE NUM
332547Medicare ID - Type UnspecifiedPROVIDER NUMBER