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Individual

BRUCE SANDOR VOGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
993 PARK AVE, NEW YORK, NY 10028-0809
(212) 734-8343
Mailing address
993 PARK AVE, NEW YORK, NY 10028-0809
(212) 734-8343

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3606
NY
103TC0700X
Clinical Psychologist
8143
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146241
VALUE OPTIONS
NY
01
W06413
BCBSMA
MA
Enumeration date
06/05/2007
Last updated
07/08/2007
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