Individual
DR. ANI A BODOUTCHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 ROUTE 109, WEST BABYLON, NY 11704-6210
(631) 422-3636
(631) 422-2788
Mailing address
120 ROUTE 109, WEST BABYLON, NY 11704-6210
(631) 422-3636
(631) 422-2788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210217
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01944994
—
NY
01
—
080149262
RAILROAD MEDICARE
NY
01
—
102407
AETNA US HEALTHCARE
NY
01
—
104807
VYTRA
NY
01
—
1317543
CIGNA
NY
01
—
2C5668
HEALTH NET
NY
01
—
5443340002
MEDICARE DME
NY
01
—
5998961
GHI
NY
01
—
P2000685
OXFORD
NY
Enumeration date
06/10/2006
Last updated
04/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us