Individual
ERIN LIZABETH BODEKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, BOX 655-B, ROCHESTER, NY 14642-0001
(585) 341-3015
(585) 784-8815
Mailing address
601 ELMWOOD AVE, BOX 655-B, ROCHESTER, NY 14642-8655
(585) 341-3015
(585) 784-8815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3045621
NY
363LA2200X
Adult Health Nurse Practitioner
304562
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03054395
—
NY
Enumeration date
02/21/2007
Last updated
07/06/2023
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