Individual provider · Type 1 NPI

Vivien Jiewen Hogan

Surgical Physician Assistant · Manhasset, NY

NPI number 1669915922 Active

Practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

86 Valentine St
Glen Cove, NY 11542-2334

Other practice locations

  • 241 North Rd, Poughkeepsie, NY 12601-1154 · (845) 431-8238

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X020429 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1669915922

Vivien Jiewen Hogan's National Provider Identifier is 1669915922, issued on Nov 18, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Manhasset, NY. The record was last updated on Jan 3, 2020.