Individual provider · Type 1 NPI
Lauren Boehm
Pediatric Adolescent Medicine Physician · New York, NY
NPI number
1487189700
Active
Practice location
550 1st Ave
New York, NY 10016-6402
Mailing address
700 Hicksville Rd Ste 205
Bethpage, NY 11714-3472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 306577 (NY) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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- Suzanne Bussetti, CPNPPediatric Adolescent Medicine Physician New York, NY NPI 1144368465
About NPI 1487189700
Lauren Boehm's National Provider Identifier is 1487189700, issued on Apr 24, 2017. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in New York, NY. The record was last updated on Apr 10, 2025.