Individual
IAN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11 SOLAR DR, C, CLIFTON PARK, NY 12065-3402
(518) 406-8788
Mailing address
11 SOLAR DR, C, CLIFTON PARK, NY 12065-3402
(518) 406-8788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024782
NY
Other
Enumeration date
07/08/2011
Last updated
03/03/2015
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