Individual
DR. JOHN J BODKIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5667 CREEKWOOD CT E, EAST AMHERST, NY 14051-2369
(716) 689-1864
Mailing address
5667 CREEKWOOD CT E, EAST AMHERST, NY 14051-2369
(716) 689-1864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
131001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637274
—
NY
Enumeration date
04/20/2006
Last updated
10/23/2023
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