Bock, Devon E

Bock, Devon E is an individual health care provider with primary practice located at 102 Park St Pruyn Pavilion At Glens Falls Hospital, Glens Falls NY 12801. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Bock, Devon E can be contacted via phone (518) 792-7122.

Contact Information

Primary practice address
102 Park St Pruyn Pavilion At Glens Falls Hospital Glens Falls NY 12801
Phone: (518) 792-7122
Fax: (518) 792-3800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 188618 New York
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 188618 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 188618 New York

Profile Details

NPI number 1578579025
LBN Legal business name Bock, Devon E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578579025 NPPES
New York MEDICAID 01574309

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