Individual
MR. CHARLES STEVEN BOODY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
3639 BOWEN RD, LANCASTER, NY 14086-9432
(716) 982-1604
Mailing address
3639 BOWEN RD, LANCASTER, NY 14086-9432
(716) 982-1604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324305
NY
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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