| Doctor Name: | DR. JAY HARVEY ROGOVE |
| NPI Number: | 1093951600 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 003115 |
| Business Practice Address: | 18 Thornwood Dr Dix Hills, NY - 117466439 |
| Business Phone Number: | 6312428728 |
| Business Fax Number: | |
| Mailing Address: | 18 Thornwood Dr, DIX HILLS |
| State: | NY |
| Postal Code: | 117466439 |
| Phone Number: | 6312428728 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2009 |
| NPI Last Update Date: | 01/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 003115 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |