Bogart, Jeffrey A

Bogart, Jeffrey A is an individual health care provider with primary practice located at 1000 East Genesee St. Suite 101 , Syracuse NY 13210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bogart, Jeffrey A can be contacted via phone (315) 476-3535.

Contact Information

Primary practice address
1000 East Genesee St. Suite 101 Syracuse NY 13210
Phone: (315) 476-3535
Fax: (315) 476-4140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 190748 New York

Profile Details

NPI number 1912931460
LBN Legal business name Bogart, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 12th, 2012 - about 14 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

Identifiers

StateTypeNumberIssuer
All States NPI 1912931460 NPPES
New York Other 190748 NYS LICENSE
New York MEDICAID 01412362 NYS LICENSE

Popular Providers