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NPI Code Detail

MEDICARE: ANN MARIE GROGAN N.P.

MEDICARE: ANN MARIE GROGAN N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse573440NY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner401413NY

General Provider Information

NPI Number : 1275813404
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE GROGAN N.P.
Provider Business Mailing Address
First Line : 60 MADISON AVE FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10010-1600
Country : US
Telephone Number : 212-545-2400
Fax Number :
Provider Business Practice Location Address
First Line : 999 BLAKE AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-3535
Country : US
Telephone Number : 718-277-8303
Fax Number : 718-277-4795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2011
Last Update Date : 06/25/2025

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Directions to “ ANN MARIE GROGAN N.P.” Practice Location

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