Brogan, Mark Gregory
Brogan, Mark Gregory is an sole proprietor health care provider with primary practice located at 40A Grove St # A , Pittsford NY 14534-1317. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brogan, Mark Gregory can be contacted via phone (585) 234-9494.Contact Information
Primary practice address
40A Grove St # A
Pittsford NY 14534-1317
Phone: (585) 234-9494
Fax: (585) 383-0820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0153191 | New York |
Profile Details
| NPI number | 1013947274 |
|---|---|
| LBN Legal business name | Brogan, Mark Gregory |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jan 30th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013947274 | NPPES |
| New York | MEDICAID | 02399324 |
Popular Providers
-
Regan, Cara Leslie
101 Sullys Trl Meadowgate Office Park Suite 10, Pittsford NY 14534-4552 -
Deneen, Todd
20 Office Pkwy Ste 125 , Pittsford NY 14534-1781 -
Runion, Jane E.
10 Office Park Way , Pittsford NY 14534-1765 -
Perlman, Gerald
41 Park Ave Ste 1D, New York NY 10016-3400 -
Jean-Jacques, Christine M
77 Sullys Trl , Pittsford NY 14534-3754 -
Raynor, Douglas Andrew
11 Schoen Place 1St Floor, Suite 1, Pittsford NY 14534-2205 -
Noonberg, Aaron Ronald
7600 Osler Dr Ste 211, Towson MD 21204-7701 -
Eichner, Paula Marie
1000 Pittsford Victor Rd , Pittsford NY 14534-3822