Individual
NICHOLAS JAMES BODKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
26 SARATOGA AVE, SOUTH GLENS FALLS, NY 12803-4838
(518) 260-0432
Mailing address
26 SARATOGA AVE, SOUTH GLENS FALLS, NY 12803-4838
(518) 260-0432
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015287-1
NY
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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