DR. EZRA RALPH BOBO


Address: 3400 Bainbridge Ave, Bronx, NY 10467-2404
Phone: 5166032897

DR. EZRA RALPH BOBO (NPI# 1710229315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710229315
Entity Type Individual
Full Name DR. EZRA RALPH BOBO
Credential M.D.
Practice Address 3400 Bainbridge Ave
Bronx
NY 10467-2404
Mailing Address 76 Park Row
Lawrence
NY 11559-2524
Practice Telephone 5166032897
Enumeration Date 2013-03-21
Last Update Date 2019-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MD2019-0581 NM Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3400 BAINBRIDGE AVE
City BRONX
State NY
Zip Code 10467-2404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831183656 Peter Shamamian Surgery 3400 Bainbridge Ave, 4th Floor, Bronx, NY 10467-2404 2005-09-08
1538714449 Jeff Philip Physician Assistant 3400 Bainbridge Ave, Bronx, NY 10467-2404 2019-08-07
1366006660 Virginia Hong Nurse Practitioner 3400 Bainbridge Ave, Bronx, NY 10467-2404 2019-04-23
1376028514 Brittani Lanae Turner Nurse Practitioner 3400 Bainbridge Ave, Bronx, NY 10467-2404 2018-10-02
1881179802 Olsjon Shperdheja Physician Assistant 3400 Bainbridge Ave, Bronx, NY 10467-2404 2018-09-25
1881170595 Ida Rampersad Nurse Practitioner 3400 Bainbridge Ave, Bronx, NY 10467-2404 2018-07-16
1265937890 Araceli Estrada-ortega Dietitian, Registered 3400 Bainbridge Ave, Bronx, NY 10467-2404 2018-03-26
1265969133 Kimberly Wallace Registered Nurse 3400 Bainbridge Ave, Bronx, NY 10467-2404 2017-05-22
1124570528 Andrea Feghali Nurse Practitioner 3400 Bainbridge Ave, 3rd Floor, Bronx, NY 10467-2404 2016-11-01
1902356207 Rachel Lindsay Miller Physician Assistant 3400 Bainbridge Ave, Floor 3, Bronx, NY 10467-2404 2016-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
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1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689014987 Advanced Access Medical Care, Pllc Radiology 1733 Eastchester Rd, Bronx, NY 10461-2315 2013-07-01
1427147578 Yashwant D Patel Radiology 1650 Grand Concourse., Bronx, NY 10457-7606 2006-10-12
1508805805 Eric Berkowitz Radiology 5221 Broadway, Bronx, NY 10463-7636 2006-06-05
1073800330 David Avishay Hirschl Radiology 111 E 210th St, Bronx, NY 10467-2401 2011-07-06
1689960031 Jonathan Marc Latzman Radiology 111 E 210th St, Department of Radiology, Bronx, NY 10467-2401 2011-06-23
1265619654 Gun Hill Mri Radiology 5500 Broadway, Suite 102, Bronx, NY 10463-5203 2008-01-28
1114118304 Shashi Singh Radiology 1400 Pelham Pkwy S, Bronx, Bronx, NY 10461-1138 2007-08-05
1770507543 Bruce Philip Reiter Radiology 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2006-07-26

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NPI Name Taxonomy Address Enumeration
1124632039 Radiance Medicine LLC Radiology 95 Norman Ave, Brooklyn, NY 11222-2937 2020-09-08
1174083828 Mark Medical Care Queens Pllc Radiology 6405 Woodside Ave, Woodside, NY 11377-3654 2019-03-20
1962917492 Israel Schur Md Pllc Radiology 202 Centre St Fl 5, New York, NY 10013-3613 2017-12-06
1659897775 9909 Medical Radiology 2515 Crescent St Ste 1, Astoria, NY 11102-4370 2017-08-21
1104357896 Paramount Diagnostics LLC Radiology 201 Irving Pl, Woodmere, NY 11598-1639 2017-03-23
1881009926 Dennis Cummings Radiology 450 Clarkson Ave., Box 1262, Department Suny Downstate Medical Center, Brooklyn, NY 11203-1262 2014-06-27
1699192815 Amir Noor Radiology 240 E 86th St Apt Phb, New York, NY 10028-3000 2014-03-26
1851739601 Vascular Interventional Services Radiology 6335 Transit Rd, Depew, NY 14043-1030 2013-06-13
1437406238 Arbabzadeh Massoud Physician, PC Radiology 2809 Wehrle Dr Ste 13, Williamsville, NY 14221-7385 2012-08-10
1043574692 David Jonathan Pinter Radiology 750 E Adams St Rm 3416, Syracuse, NY 13210 2012-06-28
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Competitor

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City BRONX
Zip Code 10467

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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