Individual
MS. AVON D BODDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATION
Contact information
Practice address
88-48 78 STREET, WOODHAVEN, NY 11421
(718) 296-8810
Mailing address
8848 78TH ST, WOODHAVEN, NY 11421-2310
(718) 296-8810
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
693099121
NY
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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