Doctor Name: | DR. MONTY MAX BODENHEIMER |
NPI Number: | 1013027671 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 153049 |
Business Practice Address: | 3003 New Hyde Park Rd Ste 406 New Hyde Park, NY - 110421214 |
Business Phone Number: | 5167190102 |
Business Fax Number: | 5163585403 |
Mailing Address: | 3003 New Hyde Park Rd, Ste 406 NEW HYDE PARK |
State: | NY |
Postal Code: | 110421214 |
Phone Number: | 5167190102 |
Fax Number: | 5163585403 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 153049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |