Individual
EDUARDO CANLAS BONDOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
522 COURTLANDT AVE, FL 2, BRONX, NY 10451-5008
(718) 312-6480
(718) 292-4641
Mailing address
119 HINSDALE AVE, FLORAL PARK, NY 11001-1213
(516) 358-2388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
181702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301537
—
NY
05
—
01420795
—
NY
01
—
06851
GHI MEDICARE
NY
Enumeration date
06/25/2005
Last updated
03/24/2018
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