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NPI Code Detail

MEDICARE: SARAHROSE HOGAN LCSW PLLC

MEDICARE: SARAHROSE HOGAN LCSW PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548971948
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARAHROSE HOGAN LCSW PLLC
Provider Business Mailing Address
First Line : 2 ARLMONT ST
Second Line :
City : KINGSTON
State : NY
Zip : 12401-6427
Country : US
Telephone Number : 845-532-9460
Fax Number : 845-481-4606
Provider Business Practice Location Address
First Line : 175 GREEN ST
Second Line :
City : KINGSTON
State : NY
Zip : 12401-3716
Country : US
Telephone Number : 845-532-9460
Fax Number :
Authorized Official
Title or Position : DIRECTOR / OWNER
Name : SARAHROSE HOGAN
Credential :
Telephone Number : 845-532-9460
Provider Enumeration Date : 12/07/2022
Last Update Date : 01/04/2023

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