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
Phone: (914) 682-6440
Fax: (914) 682-6403
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740258169 | NPPES |
New York | MEDICAID | 02661989 |
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