Most Relevant Information
Provider Data
| NPI Number: | 1003382235 |
| Provider Name: | LEAH BODNER |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 100899-1 |
Most Important Dates
| Enumeration Date: | 10/15/2018 |
| Last Updated: | 10/15/2018 |
Provider Practice Location
1371 46TH ST
BROOKLYN
NY
112192140
Practice Location Phone/Fax
| Phone: | 9176563950 |
| Fax: |
Provider Mailing Location
18 MIDDLETON ST
BROOKLYN
NY
112065415
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |