Individual provider · Type 1 NPI

Samantha Bogan, N.P.

Pediatric Nurse Practitioner · Brooklyn, NY

NPI number 1811547763 Active

Practice location

7715 4th Ave
Brooklyn, NY 11209-3439

Fax (718) 836-2305

Mailing address

92 Hopkins Ave
Staten Island, NY 10306-3827

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383031 (NY)

Pediatric Nurse Practitioner: Definition to come...

12 other providers at this address

Other pediatric nurse practitioner providers in Brooklyn

See all in Brooklyn →

About NPI 1811547763

Samantha Bogan, N.P.'s National Provider Identifier is 1811547763, issued on Sep 12, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 17, 2026.