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NPI Code Detail

MEDICARE: DR. BRIAN JAMES BOGDANSKI DC

MEDICARE:  DR. BRIAN JAMES BOGDANSKI  DC
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
1111N00000XChiropractorX012104NY

General Provider Information

NPI Number : 1649548215
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN JAMES BOGDANSKI DC
Provider Business Mailing Address
First Line : 160 OLD COUNTRY RD
Second Line :
City : RIVERHEAD
State : NY
Zip : 11901-2198
Country : US
Telephone Number : 631-727-7200
Fax Number : 631-727-7252
Provider Business Practice Location Address
First Line : 160 OLD COUNTRY RD
Second Line :
City : RIVERHEAD
State : NY
Zip : 11901-2198
Country : US
Telephone Number : 631-727-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2011
Last Update Date : 09/19/2020

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Directions to “ DR. BRIAN JAMES BOGDANSKI DC” Practice Location

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