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General NPI Number Information
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NPI Number | 1477782563
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Entity Type | Organization
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Legal Business Name | ROBERT J. BOS,M.D PC
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 985 FIFTH AVENUE SUITE 200
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City | NEW YORK
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State | NY
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Zip | 10075
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Country | US
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Telephone | 917-539-7838
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Fax | 212-249-0426
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Provider Business Mailing Address
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Address Line | 985 FIFTH AVENUE SUITE 200
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City | NEW YORK
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State | NY
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Zip | 10075
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Country | US
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Telephone | 175-397-8389
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Fax | 212-758-4244
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT JAN BOS
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Credential | MD
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Telephone | 917-539-7838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 193605
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License Number State | NY
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