Individual
DR. JOHN JOSEPH BODKIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3085 HARLEM RD STE 200, CHEEKTOWAGA, NY 14225-2591
(716) 844-5000
(716) 844-5050
Mailing address
3085 HARLEM RD STE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5000
(716) 844-5050
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
263225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04770825
—
NY
Enumeration date
04/23/2009
Last updated
07/21/2022
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