Individual
DR. MONTY MAX BODENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 NEW HYDE PARK RD, STE 406, NEW HYDE PARK, NY 11042-1214
(516) 719-0102
(516) 358-5403
Mailing address
3003 NEW HYDE PARK RD, STE 406, NEW HYDE PARK, NY 11042-1214
(516) 719-0102
(516) 358-5403
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
153049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919553
—
NY
Enumeration date
08/30/2006
Last updated
08/05/2010
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