Individual
PHYLLIS HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
75 BROAD ST, STE 0815, NEW YORK, NY 10004-2415
(347) 761-3168
Mailing address
75 BROAD ST, STE 0815, NEW YORK, NY 10004-2415
(347) 761-3168
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306059-1
NY
Other
Enumeration date
08/14/2012
Last updated
07/07/2014
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