NPI 1356409932

James F Bonczek, LCSW

Practitioner Exclusive Provider Organization New York, NY

Practice location

Address: 118 E 28th St 315, New York, NY 10016-8413
Phone: (917) 449-6296
Mailing address: 6 Stuyvesant Oval #8h, New York, NY 10009-2412

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence R0308131 (NY)

Other Exclusive Provider Organization providers in New York →

Registry record

NPI: 1356409932
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.