Boczko, Judd

Boczko, Judd is an individual health care provider with primary practice located at 210 Westchester Ave , White Plains NY 10604-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Boczko, Judd can be contacted via phone (914) 682-6440.

Contact Information

Primary practice address
210 Westchester Ave White Plains NY 10604-2901
Fax: (914) 682-6403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 219530 New York

Profile Details

NPI number 1740258169
LBN Legal business name Boczko, Judd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Oct 16th, 2013 - about 11 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 1740258169 NPPES
New York MEDICAID 02661989

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