Individual
KATHRYN BODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37 W 26TH ST, NEW YORK, NY 10010-1006
(646) 352-9021
Mailing address
1735 YORK AVE APT 15F, NEW YORK, NY 10128-6858
(303) 815-9857
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
761376
NY
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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