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Individual

DR. WALTER BOHDAN SZPUR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 S BROADWAY, TARRYTOWN, NY 10591-4500
(914) 631-6563
(914) 631-5611
Mailing address
200 S BROADWAY, TARRYTOWN, NY 10591-4500
(914) 631-6563
(914) 631-5611

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
154301
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00816986
NY
01
03781
GHI
NY
01
1051313
FIRST HEALTH
NY
01
13853
ATLANTIS
NY
01
1440
AFFINITY
NY
01
154301
HIP
NY
01
229634
WORKERS COMPENSATION
NY
01
38475
CIGNA
NY
01
559468
AETNA
NY
01
7832
COMMUNITY CHOICE
NY
01
891337
MVP
NY
01
D3163
HEALTHNET
NY
01
P469249
OXFORD
NY
Enumeration date
01/10/2006
Last updated
07/09/2007
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