Provider Demographics
NPI:1184114688
Name:BOGART GROUP INC
Entity type:Organization
Organization Name:BOGART GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHMUT
Authorized Official - Middle Name:
Authorized Official - Last Name:BICIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-606-6022
Mailing Address - Street 1:6271 DRY HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-1970
Mailing Address - Country:US
Mailing Address - Phone:718-606-6022
Mailing Address - Fax:718-898-8709
Practice Address - Street 1:6271 DRY HARBOR RD
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1970
Practice Address - Country:US
Practice Address - Phone:718-606-6022
Practice Address - Fax:718-898-8709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies