JAMES BOVIENZO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161205

License Status

ACTIVE

Business

Title

First Name

JAMES

Last Name

BOVIENZO

Business Name

JAMES BOVIENZO DO

Original Issue Date

07/06/2022

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10019

Ever Disciplined

LastModifiedDate

06/06/2023