Individual
BOHDAN FEDCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 PARK AVE, SECOND FLOOR, BINGHAMTON, NY 13903-1605
(607) 772-6266
(607) 772-8567
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
162722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191386
—
NY
Enumeration date
08/16/2005
Last updated
11/18/2011
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