Active NPI
Christine Coloson Bohach, MSSPED
- Specialist
- Southold, NY
National Provider Identifier
1881734473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 08038349
- Practice address
- 7480 N Bayview Rd
Southold, NY 11971-4006 - Phone
- (631) 765-8326
- Fax
- (631) 765-8326
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 08038349 | NY | Primary |
Addresses
Primary practice location
7480 N Bayview Rd
Southold, NY 11971-4006
Mailing address
7480 N Bayview Rd
Southold, NY 11971-4006
Phone (631) 765-8326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08038349 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1881734473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7480 N BAYVIEW RD",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119714006",
"telephone_number": "631-765-8326",
"fax_number": "631-765-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7480 N BAYVIEW RD",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119714006",
"telephone_number": "631-765-8326",
"fax_number": "631-765-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHACH",
"first_name": "CHRISTINE",
"middle_name": "COLOSON",
"name_prefix": "Mrs.",
"credential": "MSSPED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "08038349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southold, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.