Provider Demographics
NPI:1013022706
Name:HOGMAN, FLORA (PH D)
Entity Type:Individual
Prefix:DR
First Name:FLORA
Middle Name:
Last Name:HOGMAN
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 W 16TH ST
Mailing Address - Street 2:4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6361
Mailing Address - Country:US
Mailing Address - Phone:212-989-1519
Mailing Address - Fax:
Practice Address - Street 1:54 W 16TH ST
Practice Address - Street 2:4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6361
Practice Address - Country:US
Practice Address - Phone:212-989-1519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0036841103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2093904OtherOXFORD HEALTH PLANS
NYP2093904OtherOXFORD HEALTH PLANS