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NPI Code Detail

MEDICARE: DR. LAUREN R BOGLIOLI MD FACC FACP FCCP

MEDICARE: DR. LAUREN R BOGLIOLI MD FACC FACP FCCP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician1904551NY

General Provider Information

NPI Number : 1427041847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN R BOGLIOLI MD FACC FACP FCCP
Provider Business Mailing Address
First Line : 310 E SHORE RD STE 207
Second Line :
City : GREAT NECK
State : NY
Zip : 11023-2432
Country : US
Telephone Number : 516-504-1280
Fax Number : 516-504-1290
Provider Business Practice Location Address
First Line : 310 E SHORE RD STE 207
Second Line :
City : GREAT NECK
State : NY
Zip : 11023-2432
Country : US
Telephone Number : 516-504-1280
Fax Number : 516-504-1290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 06/09/2025

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