Individual
EMILY BOGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
739 IRVING AVE STE 500, SYRACUSE, NY 13210-1664
(315) 470-7409
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
029363
NY
Other
Enumeration date
01/20/2023
Last updated
07/15/2025
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