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Bohemia Medical, Pc
General Practice Physician in Ronkonkoma, New York
NPI 1063440659

Bohemia Medical, Pc is a General Practice Physician based in Ronkonkoma, NY. Bohemia Medical, Pc practices in Ronkonkoma, NY. The NPI Number for Bohemia Medical, Pc is 1063440659 and holds a License No. 188150 (New York).

The current practice location address for Bohemia Medical, Pc is 4155 Veterans Memorial Hwy Ste 5, Ronkonkoma, NY and can be reached out via phone at 631-412-4800.

Location: 4155 Veterans Memorial Hwy Ste 5, Ronkonkoma, NY, 11779-6063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063440659
Provider Name
Bohemia Medical, Pc
Credential
Provider Entity Type
Organization
Address
4155 Veterans Memorial Hwy Ste 5, Ronkonkoma, NY, 11779-6063
Phone Number
631-412-4800
Fax Number
Provider Enumeration Date
06/30/2006
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
4155 Veterans Memorial Hwy Ste 5
City
Ronkonkoma
State
New York
Zip
11779-6063
Phone Number
631-412-4800
Fax Number
person
Provider Business Mailing Address Details
Address
4155 Veterans Memorial Hwy Ste 5
City
Ronkonkoma
State
New York
Zip
11779-6063
Phone Number
631-412-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
188150 (New York)
Definition
Definition to come...
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