National Provider Identifier
John J Bodkin II, M.D.
John J Bodkin II, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in East Amherst, NY and a listed phone number of (716) 689-1864.
Profile Overview
- NPI
- 1609831536
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 20, 2006
- Last Updated
- October 23, 2023
Practice Location
- 5667 Creekwood Ct E
- East Amherst, NY 14051-2369
Phone: (716) 689-1864
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1609831536
- Entity Type
- Individual
- Last Name
- Bodkin
- First Name
- John
- Middle Name
- J
- Name Prefix
- Dr.
- Name Suffix
- II
- Credential
- M.D.
- Mailing Street Address
- 5667 Creekwood Ct E
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-2369
- Mailing Country
- US
- Mailing Phone
- (716) 689-1864
- Practice Street Address
- 5667 Creekwood Ct E
- Practice City
- East Amherst
- Practice State
- NY
- Practice ZIP Code
- 14051-2369
- Practice Country
- US
- Practice Phone
- (716) 689-1864
- Enumeration Date
- April 20, 2006
- Last Updated
- October 23, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 00637274 (NY)