Individual
JIMMY HOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 12TH ST, BROOKLYN, NY 11215-8019
(212) 945-8515
Mailing address
25 12TH ST, BROOKLYN, NY 11215-8019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
505927
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310139
NY
Other
Enumeration date
08/30/2021
Last updated
01/04/2023
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