Provider Demographics
NPI:1376381665
Name:BOHLERT, CARI ELIZABETH
Entity type:Individual
Prefix:
First Name:CARI
Middle Name:ELIZABETH
Last Name:BOHLERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4634
Mailing Address - Country:US
Mailing Address - Phone:516-661-5569
Mailing Address - Fax:
Practice Address - Street 1:2775 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4634
Practice Address - Country:US
Practice Address - Phone:516-661-5569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist