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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY CHARLES BODENBURG, MSED

Active

MR. GARY CHARLES BODENBURG, MSED is a Specialist healthcare provider located in GARDEN CITY, New York. NPI 1255693065 is currently active in the NPPES registry. Verify at CMS.

Specialist · GARDEN CITY, NY

Registration Details

NPI Number
1255693065
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2012 (14.169593544447 yrs)
Last Updated
Jun 8, 2012
License
1748234 (NY)

Practice Information

Address
300 GARDEN CITY PLAZA
350
GARDEN CITY, NY, 11530
Browse NY providers · Browse ZIP 11530
Phone
5167479030
Fax
5163939116
Primary Specialty
Specialist
174400000X

Other Specialist Providers in GARDEN CITY, NY

Name Credential NPI
DR. DEAN PAUL PAPPAS MD 1942205901
P LEO VARRIALE MD 1013907146
DR. EDWARD KATIME M.D. 1891776084
DR. FELIX I OVIASU MD 1104898949
BARRY K DOUGLAS M.D. 1235108515
GENE W LEE M.D. 1124097407
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.