MEDICARE: DOMINICK K. BIOH MD PC

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	207R00000X	Internal Medicine Physician	211232	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265603278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOMINICK K. BIOH MD PC

Provider Business Mailing Address
First Line	:	415 CENTRAL PARK W APT 1AF
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-4813
Country	:	US
Telephone Number	:	212-866-5461
Fax Number	:	212-866-7706

Provider Business Practice Location Address
First Line	:	415 CENTRAL PARK W APT 1AF
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-4813
Country	:	US
Telephone Number	:	212-866-5461
Fax Number	:	212-866-7706

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOMINICK KWASI BIOH
Credential	:	M.D.
Telephone Number	:	212-866-5461

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	03/12/2022

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