Individual
EMILY MARIE BODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
396 BROADWAY, KINGSTON, NY 12401-4626
(845) 331-3131
(845) 331-2530
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
665347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01365422
RAILROAD MEDICARE
NY
Enumeration date
11/21/2012
Last updated
09/01/2021
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