National Provider Identifier
Monique Bodine
Monique Bodine is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 287-7110.
Profile Overview
- NPI
- 1871196493
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- November 17, 2020
- Last Updated
- August 04, 2022
Practice Location
- 1099 Jay St Bldg J
- Rochester, NY 14611-1153
Phone: (585) 287-7110
Specialties
- Peer Specialist (175T00000X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1871196493
- Entity Type
- Individual
- Last Name
- Bodine
- First Name
- Monique
- Mailing Street Address
- 1099 Jay St Bldg J
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1153
- Mailing Country
- US
- Mailing Phone
- (585) 287-7110
- Practice Street Address
- 1099 Jay St Bldg J
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1153
- Practice Country
- US
- Practice Phone
- (585) 287-7110
- Enumeration Date
- November 17, 2020
- Last Updated
- August 04, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X), Counselor (101Y00000X)