Sasaran, Bogdan P

Sasaran, Bogdan P is an individual health care provider with primary practice located at 100 Park St , Glens Falls NY 12801-4413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Sasaran, Bogdan P can be contacted via phone (518) 926-3265.

Contact Information

Primary practice address
100 Park St Glens Falls NY 12801-4413
Phone: (518) 926-3265
Fax: (518) 926-3273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 217019-1 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 217019 New York

Profile Details

NPI number 1053419135
LBN Legal business name Sasaran, Bogdan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 12th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053419135 NPPES
New York MEDICAID 02143295

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