Provider Demographics
NPI:1821275884
Name:NOGHREY, BOBBY J (DO)
Entity Type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:J
Last Name:NOGHREY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:158 49 84TH STREET
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414
Mailing Address - Country:US
Mailing Address - Phone:718-322-7425
Mailing Address - Fax:718-323-5541
Practice Address - Street 1:270 UNION AVE
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-1823
Practice Address - Country:US
Practice Address - Phone:631-588-7973
Practice Address - Fax:631-471-3039
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2464671208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics