Individual
CHARLOTTE ELLEN GRACE BODACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5711
(516) 579-7870
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
054732
NY
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us