Bogin-Gustavson, Nikki

Bogin-Gustavson, Nikki is an individual health care provider with primary practice located at 35 Longwood Rd , Middle Island NY 11953-2045. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bogin-Gustavson, Nikki can be contacted via phone (631) 924-0008.

Contact Information

Primary practice address
35 Longwood Rd Middle Island NY 11953-2045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 019182 New York

Profile Details

NPI number 1174122816
LBN Legal business name Bogin-Gustavson, Nikki
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2020
Last updated Oct 23rd, 2020 - about 4 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.

Request for update

Popular Providers