Individual
DR. BRIAN F BOVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
425 W 59TH ST, 10TH FLOOR, NEW YORK, NY 10019-1104
(212) 523-7791
(212) 523-8165
Mailing address
19 HIDDEN GLEN RD, UPPER SADDLE RIVER, NJ 07458-1722
(201) 818-6953
(201) 818-4118
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
015109
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
040518
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01285336
—
NY
Enumeration date
12/06/2006
Last updated
07/31/2008
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