Bogdan, Sergey V

Bogdan, Sergey V is an sole proprietor health care provider with primary practice located at 8686 Bay Pkwy Ste M4 , Brooklyn NY 11214-5193. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Bogdan, Sergey V can be contacted via phone (718) 265-7700.

Contact Information

Primary practice address
8686 Bay Pkwy Ste M4 Brooklyn NY 11214-5193
Phone: (718) 265-7700
Fax: (718) 265-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 222300 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 222300 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA0719390 New Jersey
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 25MA0719390 New Jersey

Profile Details

NPI number 1700894110
LBN Legal business name Bogdan, Sergey V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700894110 NPPES
New York MEDICAID 02176369

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