Provider Demographics
NPI:1497080253
Name:BOGGI, JOSH ANDREW (RN)
Entity Type:Individual
Prefix:MR
First Name:JOSH
Middle Name:ANDREW
Last Name:BOGGI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ORIOLE ST
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6142
Mailing Address - Country:US
Mailing Address - Phone:845-364-6718
Mailing Address - Fax:845-364-6718
Practice Address - Street 1:14 ORIOLE ST
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-6142
Practice Address - Country:US
Practice Address - Phone:845-364-6718
Practice Address - Fax:845-364-6718
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4863561163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse