Individual
ARINA BOGDANOVA-REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
861 E 27TH ST, BROOKLYN, NY 11210-2803
(646) 707-1500
Mailing address
861 E 27TH ST, BROOKLYN, NY 11210-2803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
77527401
NY
363LF0000X
Family Nurse Practitioner
Primary
359058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77527401
—
NY
Enumeration date
12/10/2020
Last updated
05/07/2026
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