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MR. GARY CHARLES BODENBURG MSED
NPI 1255693065
Specialist in Garden City, NY

Active since June 08, 2012
300 GARDEN CITY PLAZA, 350, GARDEN CITY, NY 11530(516) 747-9030(516) 393-9116 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Gary Charles Bodenburg Msed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY CHARLES BODENBURG MSED (NPI 1255693065) is an individual specialist in Garden City, New York, licensed in New York (1748234) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1255693065
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. GARY CHARLES BODENBURGCredential: MSED
Location Address300 GARDEN CITY PLAZA, 350Garden City, NY 11530
Mailing Address23 Ruland RdSelden, NY 11784-2301 · (631) 846-4810
Phone(516) 747-9030
Fax(516) 393-9116
Sole ProprietorNo
Enumeration DateJune 8, 2012
✔ NPI 1255693065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1748234
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

300 GARDEN CITY PLAZA, Garden City, NY 11530
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYED ASRAR ABIDI
Psychiatry & Neurology (Psychiatry)
300 GARDEN CITY PLAZA, SUITE 324
GARDEN CITY, NY 11530
Nassau County (516) 294-9088
DR. IGAL RAHMANI MD
Psychiatry & Neurology (Addiction Psychiatry)
300 GARDEN CITY PLAZA, SUITE 312
GARDEN CITY, NY 11530
Nassau County (516) 280-3618
DR. LEONARD PATELLA D.D.S.
Dentist
300 GARDEN CITY PLAZA, SUITE 212
GARDEN CITY, NY 11530
Nassau County (516) 739-8659
DR. DANIELLE ALOISIO PSY.D.
Psychologist (School)
300 GARDEN CITY PLAZA
GARDEN CITY, NY 11530
Nassau County (516) 747-9030
TARA KELLY
Specialist
300 GARDEN CITY PLAZA
GARDEN CITY, NY 11530
Nassau County (516) 747-9030
MRS. KIM MARIE FITZGERALD MSED
Specialist
300 GARDEN CITY PLAZA
GARDEN CITY, NY 11530
Nassau County (516) 747-9030
MRS. KRISTI BOCCHIERI
Behavior Analyst
300 GARDEN CITY PLAZA
GARDEN CITY, NY 11530
Nassau County (516) 747-9030
MS. MELISSA SCHOULS-TSANGARIS MS, CCC-SLP
Speech-Language Pathologist
300 GARDEN CITY PLAZA
GARDEN CITY, NY 11530
Nassau County (516) 747-9030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Bodenburg's NPI number?

The NPI number for Gary Bodenburg is 1255693065. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Gary Bodenburg located?

Gary Bodenburg practices at 300 Garden City Plaza 350, Garden City, NY 11530. The listed phone number is (516) 747-9030.

What is Gary Bodenburg's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gary Bodenburg was last updated on June 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.