Individual provider · Type 1 NPI

Stephen Boglo

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1366360257 Active

Practice location

2581 Atlantic Ave
Brooklyn, NY 11207-2412

Call (718) 495-6700 Map

Mailing address

1414 E 98th St
Brooklyn, NY 11236-5044

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366360257

Stephen Boglo's National Provider Identifier is 1366360257, issued on Jul 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2026.