Bodian, Adam Ben
Bodian, Adam Ben is an individual health care provider with primary practice located at 11 Grace Ave Suite 100 Bodian Dermatology Group Pc, Great Neck NY 11021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bodian, Adam Ben can be contacted via phone (516) 482-2882.Contact Information
Primary practice address
11 Grace Ave Suite 100 Bodian Dermatology Group Pc
Great Neck NY 11021
Phone: (516) 482-2882
Fax: (516) 482-6039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 176289 | New York |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 176289 | New York |
Profile Details
| NPI number | 1518033687 |
|---|---|
| LBN Legal business name | Bodian, Adam Ben |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1518033687 | NPPES |
| Other | 12234296 | GREAT WEST | |
| Other | BA6289 | GREAT WEST | |
| Other | AS1126 | GREAT WEST | |
| Other | 0737309000 | GREAT WEST | |
| Other | 172689A | GREAT WEST | |
| Other | M2023P | GREAT WEST | |
| Other | M2023P | GREAT WEST | |
| Other | OC5423 | GREAT WEST | |
| Other | 19907 | GREAT WEST | |
| Other | 53H76 | GREAT WEST |
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