Provider Demographics
NPI:1013739572
Name:BOGUSLAWSKI, CHELSEY LENKA (MMS, PA-C)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:LENKA
Last Name:BOGUSLAWSKI
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Gender:F
Credentials:MMS, PA-C
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Mailing Address - Street 1:37 RESEARCH WAY
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3465
Mailing Address - Country:US
Mailing Address - Phone:631-444-4121
Mailing Address - Fax:
Practice Address - Street 1:37 RESEARCH WAY
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3465
Practice Address - Country:US
Practice Address - Phone:631-444-4121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant