Bogart, Courtney Laura

Bogart, Courtney Laura is an individual health care provider with primary practice located at 165 W Shore Blvd , Newark NY 14513-1259. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bogart, Courtney Laura can be contacted via phone (315) 331-5059.

Contact Information

Primary practice address
165 W Shore Blvd Newark NY 14513-1259
Phone: (315) 331-5059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 65 006366 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X LPR00075 Rhode Island
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X LIMITED LICENSE 1200 Massachusetts

Profile Details

NPI number 1316187776
LBN Legal business name Bogart, Courtney Laura
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2009
Last updated Nov 1st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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