person
Dr. Wayne Joseph Bodamer, DPM
Foot & Ankle Surgery Podiatrist in Smithtown, New York
NPI 1457317562

Wayne Joseph Bodamer is a Foot & Ankle Surgery Podiatrist based in Medford, NY and is specialized in Foot & Ankle Surgery. Wayne Joseph Bodamer practices in Smithtown, NY and has the professional credentials of DPM. The NPI Number for Wayne Joseph Bodamer is 1457317562 and holds a License No. 003889 (New York).

The current practice location address for Wayne Joseph Bodamer is 373 Route 111, Smithtown, NY and can be reached out via phone at 631-265-8802 and via fax at 631-265-8809.

Location: 373 Route 111, Smithtown, NY, 11763-3635
person
Provider Profile Details
NPI Number
1457317562
Provider Name
Wayne Joseph Bodamer
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
373 Route 111, Smithtown, NY, 11763-3635
Phone Number
631-265-8802
Fax Number
631-265-8809
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PPD162 01 NY HEALTHNET
AH00139 01 NY MDNY
P41901 01 NY EMPIRE BLUECROSS/BLUE SHI
0056853 01 NY GHI
0301399-007 01 NY CIGNA HMO
96401 01 NY AETNA US HEALTHCARE
P368761 01 NY OXFORD HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
373 Route 111
City
State
Zip
11787-4759
Phone Number
631-265-8802
Fax Number
631-265-8809
person
Provider Business Mailing Address Details
Address
373 Route 111
City
State
Zip
11787-4759
Phone Number
631-265-8802
Fax Number
631-265-8809
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
003889 (New York)
Definition
Definition to come...
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