Individual
DR. STEVEN R BODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 PALMER RD, BRONXVILLE, NY 10708-3304
(914) 793-6900
(914) 779-7810
Mailing address
915 PALMER RD, BRONXVILLE, NY 10708-3304
(914) 793-6900
(914) 779-7810
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
142450-1
NY
207W00000X
Ophthalmology Physician
Primary
142450-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066300
GHI
NY
01
—
00874458
WORKERS COMP
NY
05
—
00914645 03
—
NY
01
—
08595P
HIP
—
01
—
10034072
CDPHP
—
01
—
117098
AETNA US HEALTHCARE
—
01
—
43D271
BCBS
NY
01
—
90291
AETNA
—
01
—
B102520
LOCAL 825
—
01
—
OD0856
HEALTHNET
—
01
—
SB372300
MVP
—
01
—
SB944
CONNECTICARE
—
01
—
WS076
OXFORD
—
Enumeration date
11/02/2005
Last updated
12/28/2010
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