Individual
DR. KEVIN MICHAEL BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5730
Mailing address
323 E 61ST ST # 321G, NEW YORK, NY 10065-8204
(646) 608-7556
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
327230
NY
Other
Enumeration date
03/23/2022
Last updated
12/31/2023
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