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Individual

UCHENNA C GOGOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
10 PEARL ST FL 2, PORT CHESTER, NY 10573-4611
(914) 265-2762
Mailing address
10 PEARL ST FL 2, PORT CHESTER, NY 10573-4611

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406883
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02913500
NY
Enumeration date
11/01/2007
Last updated
08/15/2025
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