National Provider Identifier
Theresa Bodine, PA
Theresa Bodine, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Geneva, NY and a listed phone number of (315) 787-5100.
Profile Overview
- NPI
- 1780746487
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 16, 2006
- Last Updated
- January 07, 2022
Practice Location
- 200 North St
- Geneva, NY 14456-1561
Phone: (315) 787-5100
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
Endpoints
- tbodine235144@direct.rochesterregional.org
Direct Messaging Address | Direct | Geneva, NY 14456
Full Record
- NPI
- 1780746487
- Entity Type
- Individual
- Last Name
- Bodine
- First Name
- Theresa
- Credential
- PA
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 200 North St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1561
- Practice Country
- US
- Practice Phone
- (315) 787-5100
- Practice Fax
- (315) 787-5108
- Enumeration Date
- December 16, 2006
- Last Updated
- January 07, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 1793526 (NY), P0190044448 (NY, Blue Cross), 105524CK (NY, Preferred Care), P00003448 (NY, R.R. Medicare)