# DR. WAYNE JOSEPH BODAMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457317562
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 003889 | NY | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 11/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0056853 | GHI | NY |
| 01 | — | 0301399-007 | CIGNA HMO | NY |
| 01 | — | 96401 | AETNA US HEALTHCARE | NY |
| 01 | — | AH00139 | MDNY | NY |
| 01 | — | P368761 | OXFORD HEALTH PLAN | NY |
| 01 | — | P41901 | EMPIRE BLUECROSS/BLUE SHI | NY |
| 01 | — | PPD162 | HEALTHNET | NY |