DMITRY BOGOMOLNY

NEW YORK, NY
NPI1891027405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  013776-1)
Enumeration Date2010-02-06
Last Update Date2017-04-25
Business Address
-- DMITRY BOGOMOLNY RPA-C
635 W 165TH ST
NEW YORK, NY 10032-3724
Phone number: 212-305-3015
Mailing Address
-- DMITRY BOGOMOLNY RPA-C
635 W 165TH ST BOX 435
NEW YORK, NY 10032-3724
Phone number: 212-305-3015
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