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Ms. Emma Marie Bodeker
Family Nurse Practitioner in Middletown, New York
NPI 1447924055

Emma Marie Bodeker is a Family Nurse Practitioner based in Middletown, NY and is specialized in Family. Emma Marie Bodeker practices in Middletown, NY. The NPI Number for Emma Marie Bodeker is 1447924055 and holds a License No. 348251 (New York).

The current practice location address for Emma Marie Bodeker is 111 Maltese Dr, Middletown, NY and can be reached out via phone at 845-342-4774.

Location: 111 Maltese Dr, Middletown, NY, 10940-2141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447924055
Provider Name
Emma Marie Bodeker
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Maltese Dr, Middletown, NY, 10940-2141
Phone Number
845-342-4774
Fax Number
Provider Enumeration Date
08/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06873798 05 NY
institution
Provider Business Practice Location Address Details
Address
111 Maltese Dr
City
Middletown
State
New York
Zip
10940-2141
Phone Number
845-342-4774
Fax Number
person
Provider Business Mailing Address Details
Address
111 Maltese Dr
City
Middletown
State
New York
Zip
10940-2141
Phone Number
845-342-4774
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
348251 (New York)
Definition
Definition to come...
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