| NPI Details | |
|---|---|
| NPI | 1144395674 |
| Gender | Male |
| Enumeration Date | 11/21/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 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 |
| Remove 1144395674 NPI Number | |
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.
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