Individual
MR. NICHOLAS HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 STATE ROUTE 21, SHORTSVILLE, NY 14548-9502
(585) 289-9649
(585) 289-3497
Mailing address
2963 MANCHESTER HOPEWELL TOWNLINE RD, CLIFTON SPRINGS, NY 14432-9343
(315) 462-2924
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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