Individual
DEVON E BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 PARK ST, PRUYN PAVILION AT GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801
(518) 792-7122
(518) 792-3800
Mailing address
391 MYRTLE AVE STE 5, ALBANY, NY 12208-3797
(518) 262-5640
(518) 262-9413
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
188618
NY
2086S0129X
Vascular Surgery Physician
Primary
188618
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
188618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01574309
—
NY
Enumeration date
08/01/2006
Last updated
07/21/2022
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