National Provider Identifier
Courtney Laura Bogart, DPM
Courtney Laura Bogart, DPM is listed in the NPPES registry with a primary specialty of Podiatrist in Newark, NY and a listed phone number of (315) 331-5059.
Profile Overview
- NPI
- 1316187776
- Provider Type
- Individual
- Primary Specialty
- Podiatrist
- Enumeration Date
- February 25, 2009
- Last Updated
- November 01, 2010
Practice Location
- 165 W Shore Blvd
- Newark, NY 14513-1259
Phone: (315) 331-5059
Specialties
- Podiatrist (213E00000X)
- Podiatrist (213E00000X)
Full Record
- NPI
- 1316187776
- Entity Type
- Individual
- Last Name
- Bogart
- First Name
- Courtney
- Middle Name
- Laura
- Name Prefix
- Dr.
- Credential
- DPM
- Mailing Street Address
- 165 W Shore Blvd
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1259
- Mailing Country
- US
- Mailing Phone
- (315) 331-5059
- Practice Street Address
- 165 W Shore Blvd
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1259
- Practice Country
- US
- Practice Phone
- (315) 331-5059
- Enumeration Date
- February 25, 2009
- Last Updated
- November 01, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X), Podiatrist (213E00000X)