Individual
MIRIAM B BOGOMILSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
383 TROY AVE, BROOKLYN, NY 11213-5322
(718) 218-5528
Mailing address
565 CROWN ST APT 2K, BROOKLYN, NY 11213-5224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P118158
NY
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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