Individual
ALEXANDER BOGNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 731-7684
Mailing address
1213 LINCOLN AVE, POMPTON LAKES, NJ 07442-1419
(862) 485-0855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022192
NY
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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