Individual
DR. AVIVA YAEL BODEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3250 EAST AVE, ROCHESTER, NY 14618-3430
(585) 802-0801
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
049266
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
049266
NY
Other
Enumeration date
02/19/2010
Last updated
05/22/2019
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