Individual
LAUREN DICKERSON BOGDANOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
425 E 61ST ST FL 12, NEW YORK, NY 10065-8722
(646) 962-2399
(646) 962-0139
Mailing address
425 E 61ST ST FL 12, NEW YORK, NY 10065-8722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337118
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
337118
NY
Other
Enumeration date
08/31/2012
Last updated
05/04/2026
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