Bodenheimer, Monty Max

Bodenheimer, Monty Max is an sole proprietor health care provider with primary practice located at 3003 New Hyde Park Rd Ste 406, New Hyde Park NY 11042-1214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bodenheimer, Monty Max can be contacted via phone (516) 719-0102.

Contact Information

Primary practice address
3003 New Hyde Park Rd Ste 406 New Hyde Park NY 11042-1214
Phone: (516) 719-0102
Fax: (516) 358-5403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 153049 New York

Profile Details

NPI number 1013027671
LBN Legal business name Bodenheimer, Monty Max
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Aug 5th, 2010 - about 15 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 1013027671 NPPES
New York MEDICAID 919553

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