Individual
JOHN BOOCKVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 STOCKHOLM ST, C/O FACULTY PRACTICE, BROOKLYN, NY 11237-4006
(718) 963-6551
Mailing address
374 STOCKHOLM ST, C/O FACULTY PRACTICE, BROOKLYN, NY 11237-4006
(718) 963-6551
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
233190
NY
Other
Enumeration date
04/27/2006
Last updated
11/10/2011
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