Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bohemia Medical, PC

Organization General Practice Physician · NPI 1063440659

Bohemia Medical, PC is a General Practice Physician in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063
Phone: (631) 412-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 188150 (NY)

Record details

NPI number1063440659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Wein — Do · (631) 738-8300
NPI enumeratedJune 30, 2006
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address4155 Veterans Memorial Hwy Ste 5, Ronkonkoma, NY 11779-6063

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