Individual
DR. JAMES BOCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6220
(631) 208-0988
Mailing address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6220
(631) 208-0988
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
204410-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01875314
—
NY
Enumeration date
11/10/2006
Last updated
07/08/2007
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