NPI 1043575202
Jacqueline Bodden
Practice location
- Address
- 1874 Pelham Pkwy S APT 6n, Bronx, NY 10461-3750
- Phone
- (917) 517-2629
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1043575202
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jul 2012
- Record last updated
- 12 Jul 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.