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NPI Code Detail

MEDICARE: MISS SARAH J HOGAN RN, LPN

MEDICARE: MISS SARAH J HOGAN RN, LPN
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
1164W00000XLicensed Practical Nurse267950-1NY
2163W00000XRegistered Nurse766341-01NY

General Provider Information

NPI Number : 1821308545
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SARAH J HOGAN RN, LPN
Provider Business Mailing Address
First Line : 300 HERB HILL RD
Second Line : PH37
City : GLEN COVE
State : NY
Zip : 11542-4413
Country : US
Telephone Number : 631-740-1736
Fax Number :
Provider Business Practice Location Address
First Line : 300 HERB HILL RD
Second Line : PH37
City : GLEN COVE
State : NY
Zip : 11542-4413
Country : US
Telephone Number : 631-740-1736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2010
Last Update Date : 02/07/2024

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