STACEY M BOGART

SENECA CAYUGA COUNTIES CHAPTER NYSARC, INC.

Dr STACEY M BOGART is a female medical professional, specializing in Clinical Social Worker. She graduated in 1996.

Contact

SENECA CAYUGA COUNTIES CHAPTER NYSARC, INC.

1083 WATERLOO GENEVA RD
WATERLOO
NY
131651202

Tel: 3158568257

STACEY M BOGART Information

Npi 1306914874
Pac Id 2769583996
Professional Enrollment Id I20070718000526
Last Name BOGART
First Name STACEY
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1996
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SENECA CAYUGA COUNTIES CHAPTER NYSARC, INC.
Group Practice Pac Id 3476653015
Number Of Group Practice Members 16
Line 1 Street Address 1083 WATERLOO GENEVA RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WATERLOO
State NY
Zip Code 131651202
Phone Number 3158568257
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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