SUSAN BOGOSIAN (NPI# 1215316922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215316922 |
Entity Type | Individual |
Full Name | SUSAN BOGOSIAN |
Credential | RN |
Practice Address |
55 Elm St Glens Falls NY 12801-3549 |
Mailing Address |
Po Box 417153 Boston MA 02241-7153 |
Practice Telephone | 5187937273 |
Practice Fax Number | 5187985004 |
Mailing Telephone | 5189528140 |
Mailing Fax Number | 5189528287 |
Enumeration Date | 2015-05-27 |
Last Update Date | 2015-05-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
378615 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03008326 | 05 |
Street Address |
55 ELM ST |
City | GLENS FALLS |
State | NY |
Zip Code | 12801-3549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972558179 | Conifer Park, Inc. | Clinic/Center | 55 Elm St, Glens Falls, NY 12801-3549 | 2006-05-24 |
1225677420 | Bridget Sullivan | Registered Nurse | 55 Elm St, Glens Falls, NY 12801-3670 | 2020-01-06 |
1932761905 | Corrie L Blair | Counselor | 55 Elm St, Glens Falls, NY 12801-3670 | 2019-07-01 |
1063981942 | Renee Long | Registered Nurse | 55 Elm St, Glens Falls, NY 12801-3670 | 2018-11-20 |
1689189219 | Sarah Lyon | Counselor | 55 Elm St, Glens Falls, NY 12801-3670 | 2017-12-05 |
1518493287 | Cheryl Herring-laniyo | Counselor | 55 Elm St, Glens Falls, NY 12801-3670 | 2017-05-02 |
1558718866 | Joanne Lydon | Registered Nurse | 55 Elm St, Glens Falls, NY 12801-3670 | 2016-05-17 |
1588050975 | Anthony Giordano | Counselor | 55 Elm St, Glens Falls, NY 12801-3549 | 2015-04-13 |
1447641147 | Nicole Clement | Registered Nurse | 55 Elm St, Glens Falls, NY 12801-3549 | 2015-02-17 |
1528456068 | Todd Monahan | Counselor | 55 Elm St, Glens Falls, NY 12801-3549 | 2015-01-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
Find all providers in zip 12801 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
1811533151 | Kay Lobo Cordes | Registered Nurse | 6501 E Inducon Drive, Sanborn, NY 14132 | 2019-11-21 |
1396393633 | Emmanuelle Sheridan | Registered Nurse | 102 Fountain Ave, Selden, NY 11784-1908 | 2019-08-29 |
1750846267 | Shaedele Renise Desamours | Registered Nurse | 1825 Park Ave Fl 8, New York, NY 10035-1641 | 2019-02-08 |
1417459546 | Kristie Matos | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-05 |
1982116166 | Angela Douglas | Registered Nurse | 1001 E 55th St, Brooklyn, NY 11234-1701 | 2017-10-28 |
1669994497 | Sheila Lenora Eastmond-chapman | Registered Nurse | 547 Pine St, Brooklyn, NY 11208-3901 | 2017-07-13 |
1184160814 | Christopher Cox | Registered Nurse | 46 5th Ave S, Huntington Station, NY 11746-2343 | 2017-01-19 |
1518401629 | Fawn Erin Medina | Registered Nurse | 2920 Wilson Avenue, Bronx, NY 10469 | 2016-12-08 |
Find all providers with the same taxonomy |
City | GLENS FALLS |
Zip Code | 12801 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.