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Contact Information

HENRY C BODENHEIMER JR, MD
10 UNION SQ E
STE 2G, DEPT OF GASTROENTEROLOGY
NEW YORK, NY10003-3314
 Phone: 212-420-4015
 Fax: 212-844-5548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for HENRY C BODENHEIMER JR · (Male)

NPI # 1063497295
Status Active
Credentials MD
Entity Individual
Enumeration date 12/09/2005
Last updated 02/21/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 128274-1
  • NY Medicaid 01284564
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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