Most Relevant Information
Provider Data
| NPI Number: | 1003059627 |
| Provider Name: | ELIZABETH BODISCH LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 281276-1 |
Most Important Dates
| Enumeration Date: | 04/13/2009 |
| Last Updated: | 04/13/2009 |
Provider Practice Location
14 HEWITT PL
KINGSTON
NY
124015349
Practice Location Phone/Fax
| Phone: | 8454735900 |
| Fax: | 8454736692 |
Provider Mailing Location
14 HEWITT PL
KINGSTON
NY
124015349
Provider Mailing Phone/Fax
| Phone: | 8454735900 |
| Fax: | 8454736692 |