Organization
JOHN J BODKIN, II, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J BODKIN II MD (OWNER)
(716) 689-1864
Entity
Organization
Contact information
Practice address
5667 CREEKWOOD CT EAST, EAST AMHERST, NY 14051
(716) 689-1864
Mailing address
5667 CREEKWOOD CT EAST, EAST AMHERST, NY 14051
(716) 689-1864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637274
—
NY
Enumeration date
04/04/2024
Last updated
04/04/2024
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