DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN P BOGOSIAN, M.D.

Active

DR. STEPHEN P BOGOSIAN, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in DE WITT, New York. NPI 1689639940 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · DE WITT, NY

Registration Details

NPI Number
1689639940
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (20.333614280781 yrs)
Last Updated
Apr 5, 2018
Licenses
158129 (NY)
158129 (NY)

Practice Information

Address
5719 WIDEWATERS PKWY
DE WITT, NY, 132141880
Browse NY providers · Browse ZIP 13214
Phone
3152513100
Fax
3154499923
Primary Specialty
Sports Medicine (Orthopaedic)
207XS0114X
Additional Specialty
Sports Medicine (Orthopaedic)

Other Sports Medicine (Orthopaedic) Providers in DE WITT, NY

Name Credential NPI
TIMOTHY H IZANT M.D. 1992761043
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.