Individual
DR. LAWRENCE BODENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,PHD
Contact information
Practice address
10 UNION SQ E, SUITE 2L, NEW YORK, NY 10003-3314
(212) 844-8840
(212) 819-6948
Mailing address
FIRST AVE AT 16TH ST, BAIRD HALL SUITE 15BH51, NEW YORK, NY 10003
(212) 844-8840
(212) 819-6948
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
192812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506918
—
NY
Enumeration date
10/03/2006
Last updated
03/27/2017
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