Individual
MR. BRIAN ALAN HOGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
101 ROUTE 112, PORT JEFFERSON STATION, NY 11776-1027
(631) 375-9936
Mailing address
118 MOUNT SINAI AVE, MOUNT SINAI, NY 11766-2356
(631) 375-9936
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026187
NY
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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