Individual
REBECCA HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 ORCHARD AVE, JOHNSON CITY, NY 13790-2821
(607) 760-6081
Mailing address
31 ORCHARD AVE, JOHNSON CITY, NY 13790-2821
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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