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Individual

DR. BOBACK M BEROOKHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
186 E 76TH ST FL 1, NEW YORK, NY 10021-2822
(212) 434-4650
(212) 434-3250
Mailing address
186 E 76TH ST FL 1, NEW YORK, NY 10021-2822
(212) 434-4650
(212) 434-3250

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
253004
NY

Other

Enumeration date
06/18/2008
Last updated
07/07/2014
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