Individual provider · Type 1 NPI

Emily Bogert, PA-C

Medical Physician Assistant · Syracuse, NY

NPI number 1619682945 Active

Practice location

739 Irving Ave Ste 500
Syracuse, NY 13210-1664

Call (315) 470-7409 Map

Mailing address

1001 W Fayette St Ste 400
Syracuse, NY 13204-2866

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X029363 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1619682945

Emily Bogert, PA-C's National Provider Identifier is 1619682945, issued on Jan 20, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Syracuse, NY. The record was last updated on Jul 15, 2025.