Individual
ZOIA BODRENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
222 MILTON AVE, STATEN ISLAND, NY 10306-5660
(917) 513-2485
Mailing address
222 MILTON AVE, STATEN ISLAND, NY 10306-5660
(917) 513-2485
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1703264
NY
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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