Individual
ASSEN PETROV BOGDANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
69 S BROADWAY, YONKERS, NY 10701-4004
(914) 376-5555
(914) 964-1477
Mailing address
3 BARKER AVE 4, WHITE PLAINS, NY 10601-1524
(914) 949-1199
(914) 949-1245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
228483
NY
207R00000X
Internal Medicine Physician
25MA12165500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02463867
—
NY
Enumeration date
07/21/2005
Last updated
09/27/2024
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