Individual
DR. SOENKE BOETTGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 263-6219
Mailing address
222 GRAND ST APT 4B, C/O REZNIK, HOBOKEN, NJ 07030-2589
(201) 963-5840
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
003516
NY
283Q00000X
Psychiatric Hospital
003516
NY
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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