Adam Ben Bodian in Great Neck - Procedural Dermatology

Adam Ben Bodian - NPI 1518033687

Adam Ben Bodian is a Procedural Dermatology in Great Neck, New York. Adam Ben Bodian practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Adam Ben Bodian is 1518033687. The last update date is 2007-07-08.

Adam Ben Bodian's current location address is 11 Grace Ave, Great Neck, New York. You can contact this provider via phone number 5164822882 and fax number 5164826039. The mailing address for Adam Ben Bodian is 11 Grace Ave, Great Neck, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Adam Ben Bodian
Address 11 Grace Ave, Great Neck, New York
Phone Number 5164822882
Fax Number 5164826039
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1518033687
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11 Grace Ave
City Great Neck
State New York (NY)
Post Code 11021
Phone Number 5164822882
Fax Number 5164826039

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No 176289
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12234296 GREAT WEST
BA6289 ATLANTIS HEALTH PLAN
AS1126 NY OXFORD
737309000 AMERI HEALTH HMO ID
172689A HEALTH FIRST
M2023P NY HIP
M2023P HIP
OC5423 HEALTHNET
19907 GHI
53H76 BLUE CROSS BLUE SHIELD

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FAQs about Adam Ben Bodian

What is the unique identifier code issued to Adam Ben Bodian by the Centers for Medicare & Medicaid Services?

The Adam Ben Bodian has been assigned the NPI (National Provider Identifier) 1518033687. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Adam Ben Bodian's facilities are geographically located?

The facilities of Adam Ben Bodian are physically situated at the following location: 11 Grace Ave, Great Neck, NY, 11021.

What is Adam Ben Bodian's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Adam Ben Bodian is Procedural Dermatology, and the corresponding taxonomy classification code for this specialized field is 207Ns0135X.

On what date did Adam Ben Bodian receive its 1518033687 assignment from the Centers for Medicare & Medicaid Services?

The Adam Ben Bodian was assigned its 1518033687 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Adam Ben Bodian, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Adam Ben Bodian, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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