Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS HOGAN
Active Sole ProprietorMR. NICHOLAS HOGAN is a Behavioral Health, Residential healthcare provider located in SHORTSVILLE, New York. NPI 1912206145 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · SHORTSVILLE, NY
Registration Details
- NPI Number
- 1912206145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2011 (15.418019278193 yrs)
- Last Updated
- Mar 28, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
1506 STATE ROUTE 21SHORTSVILLE, NY, 145489502Browse NY providers · Browse ZIP 14548
- Phone
- 5852899649
- Fax
- 5852893497
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.