Individual
SCOTT BOGUMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1565 LONG POND RD, ROCHESTER, NY 14626-4168
(585) 723-7723
Mailing address
1565 LONG POND RD, ROCHESTER, NY 14626-4168
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
695746
NY
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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