Carmen Deandrade Bosch, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

204055 Issued in NY

Practice address

110 E 59TH St
Suite 10B
New York, NY 10022-1304

Phone

(212) 583-2882

Fax

(212) 644-4242

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750451738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E 79TH ST",
            "address_2": "APT 25C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210705",
            "telephone_number": "212-288-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 59TH ST",
            "address_2": "SUITE 10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221304",
            "telephone_number": "212-583-2882",
            "fax_number": "212-644-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "CARMEN",
        "middle_name": "DEANDRADE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bos, M.D.
• Carly Bosacker, PSY.D.
• Cary Bosak, LCSW
• Dorline H Bosboom, D.D.S.
• Joshua Boscarino, MHC-LP
• Emily Boschert, MD
• Jonathan Boschetto, LMSW
• Frank Xavier Bosco, MA, MT-BC, LCAT
• Heather Lynn Bosco, PA-C
• Joan Roseann Bosco, MD

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.