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Individual

DR. SERGEY V BOGDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
208100000X
Physical Medicine & Rehabilitation Physician
222300
NY
208100000X
Physical Medicine & Rehabilitation Physician
25MA0719390
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
222300
NY
208VP0014X
Interventional Pain Medicine Physician
25MA0719390
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02176369
NY
Enumeration date
08/03/2006
Last updated
03/17/2018
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