Organization
BOEV MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL HESPEN (BUSINESS MANAGER)
(585) 342-2638
Entity
Organization
Contact information
Practice address
1445 PORTLAND AVE STE 309, ROCHESTER, NY 14621-3008
(585) 342-2638
(585) 342-5855
Mailing address
1445 PORTLAND AVE STE 309, ROCHESTER, NY 14621-3008
(585) 342-2638
(585) 730-7500
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
—
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NY
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04463732
—
NY
Enumeration date
02/09/2016
Last updated
03/17/2018
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