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Organization

SERGEY V. BOGDAN, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRINA BOGDAN (PRACTICE MANAGER)
(718) 265-7700
Entity
Organization

Contact information

Practice address
8686 BAY PKWY STE M4, BROOKLYN, NY 11214-5193
(718) 265-7700
(718) 265-7701
Mailing address
62 KEUNE CT, STATEN ISLAND, NY 10304-1431
(718) 265-7700
(718) 265-7701

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03242239
NY
Enumeration date
12/20/2007
Last updated
01/14/2020
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