Individual
DR. A KIRK BODARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1065 SENATOR KEATING BLVD, ROCHESTER, NY 14618-2600
(585) 256-1330
Mailing address
PO BOX 2001, EAST SYRACUSE, NY 13057-4501
(315) 449-0513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
177508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01134418
—
NY
Enumeration date
05/09/2006
Last updated
10/05/2020
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