TARA BODZIAK

LAKE SHORE AUDIOLOGY PC

Dr TARA BODZIAK is a female medical professional, specializing in Qualified Audiologist. She graduated in 2017 from State University Of New York At Buffalo School Of Medicine.

Contact

LAKE SHORE AUDIOLOGY PC

3085 SOUTHWESTERN BLVD
SUITE 103
ORCHARD PARK
NY
141271234

Tel: 7166744188

TARA BODZIAK Information

Npi 1073036927
Pac Id 9739452178
Professional Enrollment Id I20170906001818
Last Name BODZIAK
First Name TARA
Middle Name
Suffix
Gender F
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year 2017
Primary Specialty QUALIFIED AUDIOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAKE SHORE AUDIOLOGY PC
Group Practice Pac Id 1850492406
Number Of Group Practice Members 2
Line 1 Street Address 3085 SOUTHWESTERN BLVD
Line 2 Street Address SUITE 103
Marker Of Address Line 2 Suppression
City ORCHARD PARK
State NY
Zip Code 141271234
Phone Number 7166744188
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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