Organization
ADULT HEALTH NURSE PRACTITIONER SERVICES OF THE HAMPTONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN E MOGAN DNP, ANP-BC, ACHPN (OWNER/NP)
(845) 309-3040
Entity
Organization
Contact information
Practice address
6 FLOCEE LN, HAMPTON BAYS, NY 11946-3006
(845) 309-3040
Mailing address
6 FLOCEE LN, HAMPTON BAYS, NY 11946-3006
(845) 309-3040
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043643992
—
NY
Enumeration date
12/20/2021
Last updated
12/20/2021
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