Individual
HENRY CHARLES BODENHEIMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, STE 2G, DEPT OF GASTROENTEROLOGY, NEW YORK, NY 10003-3314
(212) 420-4015
(212) 844-5548
Mailing address
160 WATER ST, 20TH FLOOR, NEW YORK, NY 10038-4922
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
128274-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01284564
—
NY
Enumeration date
12/09/2005
Last updated
02/21/2013
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