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Individual

DR. RALPH ARTHUR BOHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 RABRO DRIVE, HAVPPAUGE, NY 11788
(631) 586-3873
(631) 586-3873
Mailing address
19 TREE HOLLOW LANE, DIX HILLS, NY 11746-6315
(631) 586-3873
(631) 586-3873

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
085820
NY
208D00000X
General Practice Physician
Primary
085820
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001320810460
NY
Enumeration date
10/24/2006
Last updated
09/11/2025
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