Individual
MR. KEVIN BOJKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-2500
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307108-1
NY
Other
Enumeration date
09/28/2016
Last updated
03/13/2017
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