Individual
CATHERINE BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
515 COLTON AVE, NEWARK, NY 14513-1812
(315) 573-4938
Mailing address
515 COLTON AVE, NEWARK, NY 14513-1812
(315) 573-4938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352199
NY
Other
Enumeration date
12/11/2018
Last updated
08/15/2023
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