Bohnenberger, Robert Walter

Bohnenberger, Robert Walter is an individual health care provider with primary practice located at 355 Bard Ave , Staten Island NY 10310-1664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bohnenberger, Robert Walter can be contacted via phone (718) 818-3298.

Contact Information

Primary practice address
355 Bard Ave Staten Island NY 10310-1664
Phone: (718) 818-3298
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 169720 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 169720 New York

Profile Details

NPI number 1043280456
LBN Legal business name Bohnenberger, Robert Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 13th, 2022 - about 4 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 1043280456 NPPES
New York MEDICAID 01067289

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