Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gary Charles Bodenburg, MSED

Individual provider Specialist · NPI 1255693065

Mr. Gary Charles Bodenburg, MSED is a Specialist in Garden City, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

300 Garden City Plaza 350
Garden City, NY 11530
Phone: (516) 747-9030
Fax: (516) 393-9116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1748234 (NY)

Record details

NPI number1255693065
Entity typeIndividual (Type 1)
GenderMale
Credentials MSED
Sole proprietorNo
NPI enumeratedJune 8, 2012
Last updated in NPPESJune 8, 2012

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