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Mr. Gary Charles Bodenburg, MSED
Specialist in Garden City, New York
NPI 1255693065

Gary Charles Bodenburg is a Specialist based in Selden, NY. Gary Charles Bodenburg practices in Garden City, NY and has the professional credentials of MSED. The NPI Number for Gary Charles Bodenburg is 1255693065 and holds a License No. 1748234 (New York).

The current practice location address for Gary Charles Bodenburg is 300 Garden City Plaza, Garden City, NY and can be reached out via phone at 516-747-9030 and via fax at 516-393-9116. You can also correspond with Gary Charles Bodenburg through the mailing address at 23 RULAND RD, SELDEN, NY - 11784-2301 (mailing address contact number: 631-846-4810).

Location: 300 Garden City Plaza, Garden City, NY, 11784-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255693065
Provider Name
Gary Charles Bodenburg
Credential
MSED
Provider Entity Type
Individual
Gender
Male
Address
300 Garden City Plaza, Garden City, NY, 11784-2301
Phone Number
516-747-9030
Fax Number
516-393-9116
Provider Enumeration Date
06/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Garden City Plaza
City
Garden City
State
New York
Zip
11530
Phone Number
516-747-9030
Fax Number
516-393-9116
person
Provider Business Mailing Address Details
Address
300 Garden City Plaza
City
Garden City
State
New York
Zip
11530
Phone Number
516-747-9030
Fax Number
516-393-9116
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1748234 (New York)
Definition
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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