Individual
MR. DANIEL MARK BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8836 STATE ROUTE 434, APALACHIN, NY 13732-4102
(607) 625-4151
Mailing address
904 MCFALL RD, APALACHIN, NY 13732-3748
(607) 625-5367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041022-1
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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