Individual
MICHELLE ALEX BOGDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3157 31ST ST, ASTORIA, NY 11106-2593
(347) 569-6005
Mailing address
3157 31ST ST, ASTORIA, NY 11106-2593
(347) 569-6005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
317925
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
06/27/2024
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