SUSAN BOGOSIAN


Address: 55 Elm St, Glens Falls, NY 12801-3549
Phone: 5187937273

SUSAN BOGOSIAN (NPI# 1215316922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
378615 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03008326 05

Office Location

Street Address 55 ELM ST
City GLENS FALLS
State NY
Zip Code 12801-3549

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

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
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Competitor

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City GLENS FALLS
Zip Code 12801

Improve Information

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Dataset Information

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.

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