Roger S Madris, M.D., P.C.

LBN: Roger S Madris, M.D., P.C.
Roger S Madris, M.D., P.C. is an health care organization with primary practice located at 10 Rye Ridge Plz Suite 105, Rye Brook NY 10573-2828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Roger S Madris, M.D., P.C. can be contacted via phone (914) 253-6504, or through Madris, Roger Scott via phone (914) 253-6504.

Contact Information

Primary practice address
10 Rye Ridge Plz Suite 105 Rye Brook NY 10573-2828
Phone: (914) 253-6504
Fax: (914) 253-6507
Website:
Map and Directions
Authorized official contact:
Name: Madris, Roger Scott Doctor of Medicine (MD)
Phone: (914) 253-6504

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1134532591
LBN Legal business name Roger S Madris, M.D., P.C.
DBA Doing business as
Authorized official Madris, Roger Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2014
Last updated Jun 3rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134532591 NPPES
New York MEDICAID 00822564

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