Individual
DAN BUGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.D.R.S.
Contact information
Practice address
812 STATE FAIR BLVD, SYRACUSE, NY 13209-1307
(315) 341-8811
(315) 889-8812
Mailing address
257 MIDDLE RD, OSWEGO, NY 13126-5875
(315) 592-1561
(315) 889-8812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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