Individual
DMITRI BOUGAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
315 W 57TH ST, SUITE 401, NEW YORK, NY 10019-3158
(646) 496-8963
Mailing address
315 W 57TH ST, SUITE 401, NEW YORK, NY 10019-3158
(646) 496-8963
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
68 017107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02969217
—
NY
Enumeration date
04/10/2007
Last updated
11/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us