Individual provider · Type 1 NPI

Gary Charles Bodenburg, MSED

Specialist · Garden City, NY

NPI number 1255693065 Active

Practice location

300 Garden City Plaza, 350
Garden City, NY 11530

Call (516) 747-9030 Map

Fax (516) 393-9116

Mailing address

23 Ruland Rd
Selden, NY 11784-2301

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1748234 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255693065

Gary Charles Bodenburg, MSED's National Provider Identifier is 1255693065, issued on Jun 8, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Garden City, NY. The record was last updated on Jun 8, 2012.