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Contact Information

ALBERT F BODDIE, LPN
28 LENT AVE
MONTROSE, NY10548-1109
 Phone: 914-736-3258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for ALBERT F BODDIE · (Male)

NPI # 1245373117
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 02/14/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 150757
  • NY License # 195699
  • NY Medicaid 02559442
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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