Most Relevant Information
Provider Data
| NPI Number: | 1003574344 |
| Provider Name: | ASHLEY LYNN BODZIAK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 630965-01 |
Most Important Dates
| Enumeration Date: | 12/03/2021 |
| Last Updated: | 12/03/2021 |
Provider Practice Location
160 COUNTY LINE RD
ALDEN
NY
140049735
Practice Location Phone/Fax
| Phone: | 7169978949 |
| Fax: |
Provider Mailing Location
160 COUNTY LINE RD
ALDEN
NY
140049735
Provider Mailing Phone/Fax
| Phone: | 7169978949 |
| Fax: |