National Provider Identifier
Charles Steven Boody Jr., L.P.N.
Charles Steven Boody Jr., L.P.N. is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lancaster, NY and a listed phone number of (716) 982-1604.
Profile Overview
- NPI
- 1619422045
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 15, 2016
- Last Updated
- August 15, 2016
Practice Location
- 3639 Bowen RD
- Lancaster, NY 14086-9432
Phone: (716) 982-1604
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1619422045
- Entity Type
- Individual
- Last Name
- Boody
- First Name
- Charles
- Middle Name
- Steven
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- L.P.N.
- Mailing Street Address
- 3639 Bowen RD
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-9432
- Mailing Country
- US
- Mailing Phone
- (716) 982-1604
- Practice Street Address
- 3639 Bowen RD
- Practice City
- Lancaster
- Practice State
- NY
- Practice ZIP Code
- 14086-9432
- Practice Country
- US
- Practice Phone
- (716) 982-1604
- Enumeration Date
- August 15, 2016
- Last Updated
- August 15, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)