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Organization

RICHARD M. BOCHNER, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD MARTIN BOCHNER M.D. (PRESIDENT)
(516) 352-0737
Entity
Organization

Contact information

Practice address
2500 MARCUS AVE, SUITE 103, LAKE SUCCESS, NY 11042-1018
(516) 352-0737
(516) 352-0819
Mailing address
PO BOX 843279, BOSTON, MA 02284-3279
(516) 352-0737
(516) 352-0819

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
142449
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0098490
GHI PPO
01
108082200
US DEPT OF LABOR
01
11Q412
EMPIRE BC/BS
NY
01
142449-8B
WORKERS' COMP
NY
01
184423P
HIP
01
2225433
AETNA HMO
01
2C4135
HEALTHNET OF NE
NY
01
4278113
AETNA PPO & TRADITIONAL
01
AS715
OXFORD HEALTH PLAN
Enumeration date
06/17/2006
Last updated
11/07/2008
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