Bose, Bethanapalli

Bose, Bethanapalli is an sole proprietor health care provider with primary practice located at 6911 Fort Hamilton Pkwy , Brooklyn NY 11228-1101. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Bose, Bethanapalli can be contacted via phone (718) 680-0225.

Contact Information

Primary practice address
6911 Fort Hamilton Pkwy Brooklyn NY 11228-1101
Phone: (718) 680-0225
Fax: (201) 796-5414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 1127940 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 1127940 New York

Profile Details

NPI number 1174696736
LBN Legal business name Bose, Bethanapalli
Credentials CPO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Feb 1st, 2008 - about 16 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 1174696736 NPPES
New York MEDICAID 00835727

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