Vivien Jiewen Hogan
Physician Assistant, Surgical in Manhasset, NY. Individual provider (NPI-1).
NPI number1669915922
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1669915922
- Entity type
- Individual (NPI-1)
- Name
- Vivien Jiewen Hogan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2016
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 020429 | NY | Yes |
Practice location
300 Community DrManhasset, NY 11030-3816
Phone 516-684-7341
Mailing address
86 Valentine StGlen Cove, NY 11542-2334
Phone 917-293-6586
Other practice locations
241 North Rd
Poughkeepsie, NY 12601-1154
Poughkeepsie, NY 12601-1154
Phone 845-431-8238 · Fax 845-485-3733
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All 46 Surgical Physician Assistant providers in Manhasset · All 3,053 providers in Manhasset
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