Bodoutchian, Ani A

Bodoutchian, Ani A is an sole proprietor health care provider with primary practice located at 120 Route 109 , West Babylon NY 11704-6210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bodoutchian, Ani A can be contacted via phone (631) 422-3636.

Contact Information

Primary practice address
120 Route 109 West Babylon NY 11704-6210
Phone: (631) 422-3636
Fax: (631) 422-2788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 210217 New York

Profile Details

NPI number 1508807447
LBN Legal business name Bodoutchian, Ani A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Apr 7th, 2022 - about 2 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 1508807447 NPPES
New York Other 1317543 CIGNA
New York Other 104807 CIGNA
New York Other P2000685 CIGNA
New York Other 080149262 CIGNA
New York Other 2C5668 CIGNA
New York Other 102407 CIGNA
New York Other 5443340002 CIGNA
New York Other 5998961 CIGNA
New York MEDICAID 01944994 CIGNA

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