Dmitri Bougakov PHD Psychology PLLC
Dmitri Bougakov PHD Psychology PLLC is a Clinical Neuropsychologist in New York, New York. Licensed in New York. Registered with an NPI since 2009.
- Licensed in
- NY
- In the registry since
- 2009
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
315 W 57th St Ste 401New York, NY 10019-3158
Phone: (212) 541-6412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X · Licence 017107 (NY) |
|---|
Record details
| NPI number | 1326287426 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dmitri Bougakov — Sole Proprietor · (646) 496-8963 |
| NPI enumerated | February 12, 2009 |
| Last updated in NPPES | February 12, 2009 |
| Mailing address | 340 E Mosholu Pkwy S, Apartment 6g, Bronx, NY 10458-1742 |
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