Individual
DR. JAMES F BONCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
118 E 28TH ST, 315, NEW YORK, NY 10016-8413
(917) 449-6296
Mailing address
6 STUYVESANT OVAL, #8H, NEW YORK, NY 10009-2412
(212) 982-1218
(212) 217-9126
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
R0308131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N4K8210
—
NY
Enumeration date
12/05/2006
Last updated
07/08/2007
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