National Provider Identifier
Marnie Alissa Bodapaty, M.A., CCC-A
Marnie Alissa Bodapaty, M.A., CCC-A is listed in the NPPES registry with a primary specialty of Audiologist in Buffalo, NY and a listed phone number of (716) 862-6096.
Profile Overview
- NPI
- 1740235456
- Provider Type
- Individual
- Primary Specialty
- Audiologist
- Enumeration Date
- May 23, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-6096
Mailing Address
- 121 Los Robles St
- Williamsville, NY 14221-6720
Specialties
- Audiologist (231H00000X)
Full Record
- NPI
- 1740235456
- Entity Type
- Individual
- Last Name
- Bodapaty
- First Name
- Marnie
- Middle Name
- Alissa
- Name Prefix
- Mrs.
- Credential
- M.A., CCC-A
- Provider Other Last Name
- Etkin
- Provider Other First Name
- Marnie
- Provider Other Middle Name
- Alissa
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- M.A., CCC-A
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 121 Los Robles St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6720
- Mailing Country
- US
- Mailing Phone
- (716) 862-6096
- Mailing Fax
- (716) 862-7816
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-6096
- Practice Fax
- (716) 862-7816
- Enumeration Date
- May 23, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Audiologist (231H00000X)