Individual
GREGORY BOGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
1 BAY CLUB DR, BAYSIDE, NY 11360-2915
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME23455
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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