MEDICARE: ERIC BONDARSKY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	290956	NY
2	207RP1001X	Pulmonary Disease Physician	290956	NY

General Provider Information

NPI Number	:	1720353899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC BONDARSKY

Provider Business Mailing Address
First Line	:	353 E 17TH ST
Second Line	:	2ND FLOOR, ROOM 223
City	:	NEW YORK
State	:	NY
Zip	:	10003-3821
Country	:	US
Telephone Number	:	212-420-3743
Fax Number	:

Provider Business Practice Location Address
First Line	:	353 E 17TH ST
Second Line	:	2ND FLOOR, ROOM 223
City	:	NEW YORK
State	:	NY
Zip	:	10003
Country	:	US
Telephone Number	:	212-420-3743
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2012
Last Update Date	:	06/10/2026

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Directions to “ ERIC BONDARSKY ” Practice Location

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