Individual
PROF. AMY J BODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
896 CENTRAL AVE, WOODMERE, NY 11598-2147
(917) 952-5850
Mailing address
896 CENTRAL AVE, WOODMERE, NY 11598-2147
(917) 952-5850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007963
NY
225XP0200X
Pediatric Occupational Therapist
Primary
007963-01
NY
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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