Bodner, Jaime R.

Bodner, Jaime R. is an sole proprietor health care provider with primary practice located at 45 Rockaway Pkwy , Valley Stream NY 11580-4525. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bodner, Jaime R. can be contacted via phone (516) 825-1261.

Contact Information

Primary practice address
45 Rockaway Pkwy Valley Stream NY 11580-4525
Phone: (516) 825-1261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 033396-1 New York

Profile Details

NPI number 1669523973
LBN Legal business name Bodner, Jaime R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Jul 8th, 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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