Individual
OGNIAN BOUHLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 GUION PLACE, SOUND SHORE MEDICAL CENTER, NEW ROCHELLE, NY 10802
(914) 637-1197
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
218304
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
218304
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02096582
—
NY
Enumeration date
08/18/2006
Last updated
08/23/2007
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