Dr. Soenke Boettger, MD
General Acute Care Hospital in New York, NY. Individual provider (NPI-1).
NPI number1295048890
StatusActive
Last updated in NPPESJul 23, 2010
Details
- NPI
- 1295048890
- Entity type
- Individual (NPI-1)
- Name
- Dr. Soenke Boettger
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2010
- Last updated
- Jul 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 003516 | NY | Yes |
| 283Q00000X | Psychiatric Hospital | 003516 | NY |
Practice location
462 1st AveNew York, NY 10016-9196
Phone 212-263-6219
Mailing address
222 Grand St Apt 4bC/O Reznik
Hoboken, NJ 07030-2589
Phone 201-963-5840
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