Individual
DR. ADAM BEN BODIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 GRACE AVE, SUITE 100 BODIAN DERMATOLOGY GROUP PC, GREAT NECK, NY 11021
(516) 482-2882
(516) 482-6039
Mailing address
11 GRACE AVE, SUITE 100, GREAT NECK, NY 11021
(516) 482-2882
(516) 482-6039
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
176289
NY
207NS0135X
Procedural Dermatology Physician
Primary
176289
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0737309000
AMERI HEALTH HMO ID
—
01
—
12234296
GREAT WEST
—
01
—
172689A
HEALTH FIRST
—
01
—
19907
GHI
—
01
—
53H76
BLUE CROSS BLUE SHIELD
—
01
—
AS1126
OXFORD
NY
01
—
BA6289
ATLANTIS HEALTH PLAN
—
01
—
M2023P
HIP
NY
01
—
M2023P
HIP
—
01
—
OC5423
HEALTHNET
—
Enumeration date
11/28/2006
Last updated
09/11/2025
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