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Organization

YEVGENIY BOGORAD MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YEVGENIY BOGORAD M.D. (PRESIDENT)
(631) 626-1799
Entity
Organization

Contact information

Practice address
9424 59TH AVE, ELMHURST, NY 11373-5151
(631) 626-1799
Mailing address
8800 20TH AVE, APT 7M, BROOKLYN, NY 11214-4849

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
10/06/2010
Last updated
10/06/2010
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