Irwin Bosgang PHD

NPI 1144395674 - Psychologist - 103TC0700X

NPI Details
NPI 1144395674
Gender Male
Enumeration Date 11/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
80 LINCOLN AVE
SUITE #4
ROCKVILLE CENTRE NY, 11570-5740, US
Phone (516) 536-6672
Fax (516) 536-6672
Business Location
80 LINCOLN AVE
SUITE #4
ROCKVILLE CENTRE NY, 11570-5740, US
Phone (516) 536-6672
Fax (516) 536-6672
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 002716
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According to our database, Irwin Bosgang PHD NPI is 1144395674, taxonomy code is 103TC0700X and license number is 002716, license state is located at New York. Irwin Bosgang PHD physically located at 80 Lincoln Ave, Rockville Centre NY, 11570-5740. NPI Number Irwin Bosgang PHD has the Individual type.

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1144395674 NPI number is provided on an as is basis without warranty of any kind. 1144395674 is maintained by the National Plan & Provider Enumeration System. The contents of Irwin Bosgang PHD are for informational purposes only.