Basic Information
| Provider Information | |||||||||
| NPI: | 1851323927 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RODGERS | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | H | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 56-45 MAIN ST | ||||||||
| Address2: | NYHQ-PATHOLOGY | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113554592 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186701141 | ||||||||
| FaxNumber: | 7186617745 | ||||||||
| Practice Location | |||||||||
| Address1: | 56-45 MAIN ST | ||||||||
| Address2: | NYHQ-PATHOLOGY | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113554592 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186701141 | ||||||||
| FaxNumber: | 7186617745 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 07/25/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0101X | D0063547 | MD | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No ID Information.