Provider Demographics
NPI:1932180015
Name:HORIOGLU, ROGER E (MD)
Entity type:Individual
Prefix:
First Name:ROGER
Middle Name:E
Last Name:HORIOGLU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 N VILLAGE AVE
Mailing Address - Street 2:STE 1A
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3800
Mailing Address - Country:US
Mailing Address - Phone:516-678-0303
Mailing Address - Fax:516-678-0445
Practice Address - Street 1:176 N VILLAGE AVE
Practice Address - Street 2:STE 1A
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3800
Practice Address - Country:US
Practice Address - Phone:516-678-0303
Practice Address - Fax:516-678-0445
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2154811207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
220442OtherUNITE 30555 UNITED HEALTH
NYRH06M78910OtherBCBS 1407
NYRH06M78910OtherBCBS 5047
NYRH06M78910OtherBCBS 5011
NYRH06M78910OtherBCBS 5059
6M8291OtherMDCR SECONDARY
220442OtherUNIT740800 UNITED HEALTHC
2204422OtherUNITED 1600 UNITED HEALTH
NYRH06M78910OtherBCBS 5040
0176650001OtherDMERC HEALTH NOW
2204422OtherUHC-UNITED HEALTHCARE
NYRH06M78910OtherBCBS 5077
P00074944OtherMDCR RRRB RAILROAD
NYRH06M78910OtherBCBS 3877
NYRH06M78910OtherBCBS 3876
NYRH06M78910OtherBCBS 5012
NYRH06M78910OtherBCBS 5036
NYRH06M78910OtherBCBS 5047
220442OtherUNITE 30555 UNITED HEALTH