Individual
MS. CARRIE ELLEN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 BITTERSWEET LN, SLINGERLANDS, NY 12159-9425
(518) 439-2209
Mailing address
15 BITTERSWEET LN, SLINGERLANDS, NY 12159-9425
(518) 439-2209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015483
NY
Other
Enumeration date
12/16/2006
Last updated
07/08/2007
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