Individual
NELLY BOGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-8050
(212) 523-8055
Mailing address
238 W 106TH ST APT 6H, NEW YORK, NY 10025-3642
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
179781
NY
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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