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NPI Code Detail

MEDICARE: ERIN PATRICIA HOGAN

MEDICARE: ERIN PATRICIA HOGAN
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
1363LA2200XAdult Health Nurse Practitioner311328NY

General Provider Information

NPI Number : 1912680448
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN PATRICIA HOGAN
Provider Business Mailing Address
First Line : 320 JOHN JOY RD
Second Line :
City : WOODSTOCK
State : NY
Zip : 12498-2244
Country : US
Telephone Number : 646-322-6616
Fax Number :
Provider Business Practice Location Address
First Line : 404 ZENA RD STE 1
Second Line :
City : WOODSTOCK
State : NY
Zip : 12498-2627
Country : US
Telephone Number : 845-679-5271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/10/2023

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Directions to “ ERIN PATRICIA HOGAN ” Practice Location

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