National Provider Identifier
Zachary Bodack
Zachary Bodack is listed in the NPPES registry with a primary specialty of Counselor in Orchard Park, NY and a listed phone number of (716) 662-2040.
Profile Overview
- NPI
- 1033751789
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- October 15, 2019
- Last Updated
- October 15, 2019
Practice Location
- 227 Thorn Ave
- Orchard Park, NY 14127-2600
Phone: (716) 662-2040
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1033751789
- Entity Type
- Individual
- Last Name
- Bodack
- First Name
- Zachary
- Mailing Street Address
- 227 Thorn Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2600
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 227 Thorn Ave
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2600
- Practice Country
- US
- Practice Phone
- (716) 662-2040
- Practice Fax
- (716) 662-0019
- Enumeration Date
- October 15, 2019
- Last Updated
- October 15, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)