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Individual

MS. DONNA M VOGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4154 MCKINLEY PKWY, SUITE 1200, BLASDELL, NY 14219-2995
(716) 649-6500
(716) 649-0031
Mailing address
4154 MCKINLEY PKWY, SUITE 1200, BLASDELL, NY 14219-2995
(716) 649-6500
(716) 649-0031

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F420241-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01903300
NY
01
161019149
AETNA
NY
01
560026005
UNIVERA
NY
01
95118691
INDEPENDENT HEALTH
NY
01
RB1975
MEDICARE UPIN
NY
Enumeration date
10/11/2006
Last updated
01/09/2013
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