Individual
JOERG BOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 W 74TH ST, NEW YORK, NY 10023-2401
(212) 787-9041
(212) 662-6967
Mailing address
20 W 74TH ST, NEW YORK, NY 10023-2401
(212) 787-9041
(212) 362-6967
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14 80 81
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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