Individual
MARK E BOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WHITE PLAINS RD STE 201, TARRYTOWN, NY 10591-5838
(914) 631-3053
(914) 631-2807
Mailing address
660 WHITE PLAINS RD STE 400, TARRYTOWN, NY 10591-5107
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
331028
NY
207YP0228X
Pediatric Otolaryngology Physician
331028
NY
207YP0228X
Pediatric Otolaryngology Physician
MD00047231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236634
L&I
WA
05
—
8485914
—
WA
01
—
8947515
CRIME VICTIMS
WA
Enumeration date
01/24/2006
Last updated
07/18/2024
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