Bakalov, Bogdan

Bakalov, Bogdan is an individual health care provider with primary practice located at 92-11 Roosevelt Ave , Jackson Heights NY 11372-7857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bakalov, Bogdan can be contacted via phone (718) 651-0300.

Contact Information

Primary practice address
92-11 Roosevelt Ave Jackson Heights NY 11372-7857
Phone: (718) 651-0300
Fax: (718) 639-5513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 153329 New York

Profile Details

NPI number 1811104581
LBN Legal business name Bakalov, Bogdan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 19 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 1811104581 NPPES
New York MEDICAID 00763337

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