person
Vivien Jiewen Hogan
Surgical Physician Assistant in Manhasset, New York
NPI 1669915922

Vivien Jiewen Hogan is a Surgical Physician Assistant based in Glen Cove, NY and is specialized in Surgical. Vivien Jiewen Hogan practices in Manhasset, NY. The NPI Number for Vivien Jiewen Hogan is 1669915922 and holds a License No. 020429 (New York).

The current practice location address for Vivien Jiewen Hogan is 300 Community Dr, Manhasset, NY and can be reached out via phone at 516-684-7341.

Location: 300 Community Dr, Manhasset, NY, 11542-2334
person
Provider Profile Details
NPI Number
1669915922
Provider Name
Vivien Jiewen Hogan
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Community Dr, Manhasset, NY, 11542-2334
Phone Number
516-684-7341
Fax Number
Provider Enumeration Date
11/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020429 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
300 Community Dr
City
State
Zip
11030-3816
Phone Number
516-684-7341
Fax Number
person
Provider Business Mailing Address Details
Address
300 Community Dr
City
State
Zip
11030-3816
Phone Number
516-684-7341
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
020429 (New York)
Definition
Definition to come...
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