Individual
RAYMOND BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10158 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-2793
(716) 298-0368
Mailing address
2283 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072-1819
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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