Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0013172501 | NY |
NPI | 1053470427 |
---|---|
Provider Name | Dr. Velvie Anne Pogue |
First Address | South Orange, NJ 07079-1043 |
Second Address | New York, NY 10037-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 08/07/2007 |