Bogin, Marc Brian

Bogin, Marc Brian is an individual health care provider with primary practice located at 501 Seaview Ave , Staten Island NY 10305-3419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bogin, Marc Brian can be contacted via phone (718) 663-6400.

Contact Information

Primary practice address
501 Seaview Ave Staten Island NY 10305-3419
Phone: (718) 663-6400
Fax: (718) 663-6490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 173036 New York

Profile Details

NPI number 1760467534
LBN Legal business name Bogin, Marc Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated May 23rd, 2012 - about 12 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 1760467534 NPPES
New York MEDICAID 01176801

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