Individual
ALYSSA Z BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 STATE ROUTE 488, CLIFTON SPRINGS, NY 14432-9308
(585) 880-1053
Mailing address
11 PALMYRA ST, SHORTSVILLE, NY 14548-9329
(585) 880-1053
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024947
NY
Other
Enumeration date
05/22/2014
Last updated
10/01/2018
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