National Provider Identifier
Nicholas Hogan
Nicholas Hogan is listed in the NPPES registry with a primary specialty of Developmentally Disabled Services Day Training Agency in Shortsville, NY and a listed phone number of (585) 289-9649.
Profile Overview
- NPI
- 1912206145
- Provider Type
- Individual
- Primary Specialty
- Developmentally Disabled Services Day Training Agency
- Enumeration Date
- March 28, 2011
- Last Updated
- March 28, 2011
Practice Location
- 1506 State Route 21
- Shortsville, NY 14548-9502
Phone: (585) 289-9649
Mailing Address
- 2963 Manchester Hopewell Townline RD
- Clifton Springs, NY 14432-9343
Specialties
- Developmentally Disabled Services Day Training Agency (251C00000X)
Full Record
- NPI
- 1912206145
- Entity Type
- Individual
- Last Name
- Hogan
- First Name
- Nicholas
- Name Prefix
- Mr.
- Mailing Street Address
- 2963 Manchester Hopewell Townline RD
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-9343
- Mailing Country
- US
- Mailing Phone
- (315) 462-2924
- Practice Street Address
- 1506 State Route 21
- Practice City
- Shortsville
- Practice State
- NY
- Practice ZIP Code
- 14548-9502
- Practice Country
- US
- Practice Phone
- (585) 289-9649
- Practice Fax
- (585) 289-3497
- Enumeration Date
- March 28, 2011
- Last Updated
- March 28, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Developmentally Disabled Services Day Training Agency (251C00000X)