Provider Information for 1235852369
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Mr. SHLOMO BOGART LPCA
Other Names:Other Name:SOLOMON BOGARTSex: Male
NPI: 1235852369
Last Updated: 2022-09-23
Certification Date: 2022-09-23
Certification Date: 2022-09-23
Details
Name | Value | ||||||||
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NPI | 1235852369 | ||||||||
Enumeration Date | 2022-09-23 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1066 WHITNEY AVE HAMDEN, CT 06517-3463 United States Phone: 646-763-1424 | Fax: | ||||||||
Primary Practice Address | 1844 WHITNEY AVE HAMDEN, CT 06517-1400 United States Phone: 203-407-1310 | Fax: | ||||||||
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