Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932995933 Individual Practitioner Male Practitioner

Dan Bugow , CDRS

Specialist • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Dan Bugow, CDRS is a registered healthcare professional specializing in Specialist in Syracuse, NY. Practice services are available at 812 STATE FAIR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

812 State Fair Blvd

Syracuse, NY 132091307

Telephone 3153418811
Fax 3158898812

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
189 Specialists

Practicing in Syracuse, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-16
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Practice Locations

600 Fishers Station Dr

Victor, NY 145649784

Phone: 3153418811

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
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Master of Arts, Licensed Clinical Professional Counselor, CWHE

Caren Avery , MS, LMHC

Counselor - Mental Health

NPI 1609129931

Master of Science, Licensed Mental Health Counselor

Dr. Erin Shannon , DDS

Dentist - General Practice

NPI 1720145204

Doctor of Dental Surgery

NPI 1902241318

MSA, Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 16, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2025

Registered at 812 STATE FAIR BLVD, SYRACUSE, NY 132091307 (Tel: 3153418811)

📍
Updated Business Mailing Address April 16, 2025

Registered at 257 MIDDLE RD, OSWEGO, NY 131265875 (Tel: 3155921561)

👤
Provider Name / Credentials Updated April 16, 2025

Recorded as DAN BUGOW, C.D.R.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2025

Specialist

🟢
Initial NPI Registration & Enumeration April 16, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932995933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2025
Last Update: April 16, 2025
Sole Proprietor: Yes

Mailing Address

257 Middle Rd

Oswego, NY 131265875

Phone: 3155921561

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.