Provider Demographics
NPI:1104375286
Name:HOGAN-ROY, MEGAN D (CNM)
Entity Type:Individual
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First Name:MEGAN
Middle Name:D
Last Name:HOGAN-ROY
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 668
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-7892
Mailing Address - Fax:585-482-1666
Practice Address - Street 1:125 LATTIMORE RD
Practice Address - Street 2:STE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4159
Practice Address - Country:US
Practice Address - Phone:585-487-3330
Practice Address - Fax:585-334-0699
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2023-06-29
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Provider Licenses
StateLicense IDTaxonomies
NY1759367A00000X
NY001759367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife