Individual
SCOTT BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7300
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
271541
NY
Other
Enumeration date
03/23/2012
Last updated
10/10/2018
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