Individual
DR. ILAN S BOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
800A 5TH AVE, SUITE 206, NEW YORK, NY 10021-7215
(212) 277-4406
Mailing address
225 UNION AVE, HARRISON, NY 10528-1711
(917) 607-3989
(212) 888-6989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2482
NY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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