Organization
STANLEY BOCZKO, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIGDALIA SANTIAGO (OFFICE MANAGER)
(212) 628-1800
Entity
Organization
Contact information
Practice address
23 E 79TH ST, NEW YORK, NY 10075-0182
(212) 628-1800
(212) 628-1802
Mailing address
23 E 79TH ST, NEW YORK, NY 10075-0182
(212) 628-1800
(212) 628-1802
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
120948-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00366303
—
NY
Enumeration date
09/26/2007
Last updated
10/25/2010
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