Bogdasarian, Michael A

Bogdasarian, Michael A is an individual health care provider with primary practice located at 161 Riverside Dr Suite 105, Binghamton NY 13905-4176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bogdasarian, Michael A can be contacted via phone (607) 770-9471.

Contact Information

Primary practice address
161 Riverside Dr Suite 105 Binghamton NY 13905-4176
Phone: (607) 770-9471
Fax: (607) 797-4699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 118455 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 118455 New York

Profile Details

NPI number 1588637888
LBN Legal business name Bogdasarian, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 3rd, 2007 - about 17 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 1588637888 NPPES
New York MEDICAID 00373042

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