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Individual

MR. ALBERT FRANCIS BODDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
28 LENT AVE, MONTROSE, NY 10548-1109
(914) 736-3258
Mailing address
28 LENT AVE, MONTROSE, NY 10548-1109
(914) 736-3258

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
150757
NY
164W00000X
Licensed Practical Nurse
195699
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02559442
NY
Enumeration date
02/14/2007
Last updated
09/11/2025
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