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Individual

DR. RICHARD MARTIN BOCHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 NORTHERN BLVD, SUITE 200, GREAT NECK, NY 11021-5207
(516) 723-2663
(516) 325-7190
Mailing address
PO BOX 5200, MANHASSET, NY 11030-5200
(516) 723-2663
(516) 325-7190

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00879507
NY
01
0098490
GHI PPO
NY
01
108082200
US DEPT OF LABOR
01
11Q412
EMPIRE BLUE CROSS/BLUE SH
NY
01
142449-8B
WORKERS' COMP
NY
01
184423P
HIP
NY
01
200043220
RAILROAD MEDICARE
01
2225433
AETNA HMO
01
2C4135
HEALTHNET OF NE
01
4019250001
MEDICARE DME
01
4278113
AETNA PPO & TRADITIONAL
01
AS715
OXFORD HEALTH PLAN
NY
Enumeration date
06/21/2006
Last updated
08/01/2012
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