MILES IAN BOGNER

BRONX, NY
NPI1679036461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  327441)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-09
Last Update Date2024-08-26
Business Address
MILES IAN BOGNER DO
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
Mailing Address
MILES IAN BOGNER DO
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321