Individual
JENNIFER BOGNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3615 SENECA ST, WEST SENECA, NY 14224-3444
(716) 675-7376
Mailing address
3615 SENECA ST, WEST SENECA, NY 14224-3444
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
020858-1
NY
363A00000X
Physician Assistant
020858-1
NY
Other
Enumeration date
07/12/2017
Last updated
12/03/2021
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