Organization
BODIAN MEDICAL SERVICES OF FOREST HILLS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM B. BODIAN MD (PRESIDENT)
(516) 482-2882
Entity
Organization
Contact information
Practice address
10420 QUEENS BLVD, SUITE 1D, FOREST HILLS, NY 11375-3629
(718) 459-2121
Mailing address
11 GRACE AVE, SUITE 100, GREAT NECK, NY 11021-2417
(516) 482-2882
(516) 482-6039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
176289
NY
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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