Individual
DR. STANLEY BOCZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 E 79TH ST, NEW YORK, NY 10075-0182
(212) 628-1800
Mailing address
23 E 79TH ST, NEW YORK, NY 10075-0182
(212) 628-1800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
120948
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00366303
—
NY
Enumeration date
07/26/2006
Last updated
10/26/2010
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