Dr. Monty Max Bodenheimer
Internist - Cardiovascular Disease
3003 New Hyde Park Rd Ste 406
New Hyde Park
, New York 11042-1214
Dr. Monty Max Bodenheimer
Internist - Cardiovascular Disease
3003 New Hyde Park Rd Ste 406
New Hyde Park
, New York 11042-1214
(516) 358-5403
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Monty Max Bodenheimer
- 3003 New Hyde Park Rd Ste 406
- New Hyde Park, NY
- Zip : 11042-1214
- Fax : (516) 358-5403
- Phone : (516) 719-0102
Second Address
- Dr. Monty Max Bodenheimer
- 3003 New Hyde Park Rd Ste 406
- New Hyde Park, NY
- Zip : 11042-1214
- Fax : (516) 358-5403
- Phone : (516) 719-0102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 153049 | NY |
National Provider Identifier
| NPI | 1013027671 |
|---|---|
| Provider Name | Dr. Monty Max Bodenheimer |
| First Address | New Hyde Park, NY 11042-1214 |
| Second Address | New Hyde Park, NY 11042-1214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 05/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 919553 | (05) | NY |
| B88368 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.