Individual
DR. BRUCE S DOBOZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 PETER COOPER RD, SUITE 10E, NEW YORK, NY 10010-6723
(212) 602-1353
(212) 602-1353
Mailing address
2 PETER COOPER RD, SUITE 10E, NEW YORK, NY 10010-6723
(212) 602-1353
(212) 602-1353
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
147649
NY
207KA0200X
Allergy Physician
147649
NY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
147649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901822
—
NY
Enumeration date
05/28/2006
Last updated
08/19/2016
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