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DR. ROBERT WALTER BOHNENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-3298
Mailing address
15 WESTBURY AVE, STATEN ISLAND, NY 10301-2025
(718) 447-8665

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
169720
NY
207LP3000X
Pediatric Anesthesiology Physician
169720
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01067289
NY
Enumeration date
01/26/2006
Last updated
07/13/2022
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