Individual
SALLY HANNA BOGOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4802 10TH AVE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
311 BALTIC ST, APARTMENT 1A, BROOKLYN, NY 11201-6482
(917) 580-0967
(718) 245-4799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
283531
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2014
Last updated
06/21/2016
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