Bodley, Renee Denise

Bodley, Renee Denise is an sole proprietor health care provider with primary practice located at 21 Harrison Ave , Freeport NY 11520-2405. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bodley, Renee Denise can be contacted via phone (516) 379-0776.

Contact Information

Primary practice address
21 Harrison Ave Freeport NY 11520-2405
Phone: (516) 379-0776
Fax: (516) 379-0776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 587554 New York

Profile Details

NPI number 1205021607
LBN Legal business name Bodley, Renee Denise
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2007
Last updated Sep 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205021607 NPPES
New York MEDICAID 02886744

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