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Organization

BOHEMIA MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY WEIN (DO)
(631) 738-8300
Entity
Organization

Contact information

Practice address
4155 VETERANS MEMORIAL HWY STE 5, RONKONKOMA, NY 11779-6063
(631) 412-4800
Mailing address
4155 VETERANS MEMORIAL HWY STE 5, RONKONKOMA, NY 11779-6063
(516) 234-0018
(888) 487-1086

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
188150
NY

Other

Enumeration date
06/30/2006
Last updated
07/24/2024
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