Provider Demographics
NPI:1043205982
Name:DEJNEKA, BOHDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BOHDAN
Middle Name:
Last Name:DEJNEKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 GROVER CLEVELAND HWY
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2925
Mailing Address - Country:US
Mailing Address - Phone:716-836-3300
Mailing Address - Fax:716-836-4640
Practice Address - Street 1:605 GROVER CLEVELAND HWY
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-2925
Practice Address - Country:US
Practice Address - Phone:716-836-3300
Practice Address - Fax:716-836-4640
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1724822080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine