Provider Demographics
NPI:1285242750
Name:ROGERS, TIANA (MS, CGC)
Entity type:Individual
Prefix:
First Name:TIANA
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:TIANA
Other - Middle Name:
Other - Last Name:GRGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:1 HEALTHY WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1551
Mailing Address - Country:US
Mailing Address - Phone:516-497-7550
Mailing Address - Fax:516-632-4480
Practice Address - Street 1:1 HEALTHY WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1551
Practice Address - Country:US
Practice Address - Phone:516-497-7550
Practice Address - Fax:516-632-4480
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS