Individual
DENISE BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 GARDINERS AVE, LEVITTOWN, NY 11756-3707
(516) 864-6806
Mailing address
65 MILLER BLVD, SYOSSET, NY 11791-3528
(516) 864-6806
(516) 364-2450
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004072-1
NY
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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