MEDICARE: ANNEMARIE BOGART

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
1	163W00000X	Registered Nurse	499759-1	NY

General Provider Information

NPI Number	:	1215742333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNEMARIE BOGART

Provider Business Mailing Address
First Line	:	251 BEACH 135TH ST
Second Line	:
City	:	BELLE HARBOR
State	:	NY
Zip	:	11694-1305
Country	:	US
Telephone Number	:	917-345-4071
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 BEACH 135TH ST
Second Line	:
City	:	BELLE HARBOR
State	:	NY
Zip	:	11694-1399
Country	:	US
Telephone Number	:	718-734-3674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2025
Last Update Date	:	02/07/2025

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Directions to “ ANNEMARIE BOGART ” Practice Location

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