Most Relevant Information
Provider Data
| NPI Number: | 1003405713 |
| Provider Name: | GREGORY PAUL BOVENZI |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 732940 |
Most Important Dates
| Enumeration Date: | 01/16/2021 |
| Last Updated: | 11/01/2021 |
Provider Practice Location
1 GUSTAVE L LEVY PL
NEW YORK
NY
100296504
Practice Location Phone/Fax
| Phone: | 2122417968 |
| Fax: |
Provider Mailing Location
1 GUSTAVE L LEVY PL
NEW YORK
NY
100296504
Provider Mailing Phone/Fax
| Phone: | 2122417968 |
| Fax: |