Provider Demographics
NPI:1982840906
Name:BOGDAN, PETER N (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:N
Last Name:BOGDAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:71 MYSTIC DR
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-1965
Mailing Address - Country:US
Mailing Address - Phone:914-941-9306
Mailing Address - Fax:914-245-0061
Practice Address - Street 1:3505 HILL BLVD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1283
Practice Address - Country:US
Practice Address - Phone:914-245-0400
Practice Address - Fax:914-245-0061
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY094645207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease