National Provider Identifier

A Kirk Bodary, MD

A Kirk Bodary, MD is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Rochester, NY and a listed phone number of (585) 256-1330.

NPI 1205885076Rochester, NYAnesthesiology Physician

Profile Overview

NPI
1205885076
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
May 09, 2006
Last Updated
October 05, 2020

Practice Location

  • 1065 Senator Keating Blvd
  • Rochester, NY 14618-2600

Phone: (585) 256-1330

Mailing Address

  • PO Box 2001
  • East Syracuse, NY 13057-4501

Specialties

  • Anesthesiology Physician (207L00000X)
Full Record
NPI
1205885076
Entity Type
Individual
Last Name
Bodary
First Name
A
Middle Name
Kirk
Name Prefix
Dr.
Credential
MD
Mailing Street Address
PO Box 2001
Mailing City
East Syracuse
Mailing State
NY
Mailing ZIP Code
13057-4501
Mailing Country
US
Mailing Phone
(315) 449-0513
Practice Street Address
1065 Senator Keating Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2600
Practice Country
US
Practice Phone
(585) 256-1330
Enumeration Date
May 09, 2006
Last Updated
October 05, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
October 05, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X)
Other Identifiers
01134418 (NY)