Jacqueline Bodden

NPI 1043575202 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1043575202
Gender Female
Enumeration Date 07/12/2012
Last Updated 07/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1874 PELHAM PKWY S APT 6N
BRONX NY, 10461-3750, US
Phone (917) 517-2629
Fax
Business Location
1874 PELHAM PKWY S APT 6N
BRONX NY, 10461-3750, US
Phone (917) 517-2629
Fax
Toxanomy
Taxonomy Code 252Y00000X
License State New York
License Number 561048051
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According to our database, Ms. Jacqueline Bodden NPI is 1043575202, taxonomy code is 252Y00000X and license number is 561048051, license state is located at New York. Jacqueline Bodden physically located at 1874 Pelham Pkwy S Apt 6n, Bronx NY, 10461-3750. NPI Number Jacqueline Bodden has the Individual type.

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1043575202 NPI number is provided on an as is basis without warranty of any kind. 1043575202 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Bodden are for informational purposes only.