Individual
AMY BOGATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CLAIR ST, GREAT NECK, NY 11021-4442
(516) 829-8259
Mailing address
26 CLAIR ST, GREAT NECK, NY 11021-4442
(516) 829-8259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001238-1
NY
Other
Enumeration date
11/15/2008
Last updated
11/15/2008
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