Phyllis J Bogard MD

NPI 1053307900 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1053307900
Gender Female
Enumeration Date 09/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2527 GLEBE AVE
BRONX NY, 10461-3109, US
Phone (718) 904-4479
Fax (718) 904-4484
Business Location
2527 GLEBE AVE
BRONX NY, 10461-3109, US
Phone (718) 904-4479
Fax (718) 904-4484
Toxanomy
Taxonomy Code 2084P0800X
License State New York
License Number 238643
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According to our database, Phyllis J Bogard MD NPI is 1053307900, taxonomy code is 2084P0800X and license number is 238643, license state is located at New York. Phyllis J Bogard MD physically located at 2527 Glebe Ave, Bronx NY, 10461-3109. NPI Number Phyllis J Bogard MD has the Individual type.

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1053307900 NPI number is provided on an as is basis without warranty of any kind. 1053307900 is maintained by the National Plan & Provider Enumeration System. The contents of Phyllis J Bogard MD are for informational purposes only.