Individual
DR. DAVID JAMES BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(402) 210-4754
Mailing address
1330 1ST AVE, APT. 1002, NEW YORK, NY 10021-4742
(402) 210-4754
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
278876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285928184
—
NY
Enumeration date
06/08/2011
Last updated
04/01/2019
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