MEDICARE: MR. RICHARD A BODIAN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	013808-1	NY

General Provider Information

NPI Number	:	1679649735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD A BODIAN PT

Provider Business Mailing Address
First Line	:	31 NEW DORP LN
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2351
Country	:	US
Telephone Number	:	718-370-3500
Fax Number	:	718-979-5236

Provider Business Practice Location Address
First Line	:	2133 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5405
Country	:	US
Telephone Number	:	718-451-1400
Fax Number	:	718-451-2797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	05/01/2012

Similar Medicare Providers

1528908738 — MAHMOUD ELSAYED PTA
Practice Location Address:

2133 RALPH AVE
BROOKLYN, NY
11234-5405

Practice Phone: 718-451-1400
Practice Fax: 718-451-2797

1750237392 — ANESH SINGH PT,DPT
Practice Location Address:

2133 RALPH AVE
BROOKLYN, NY
11234-5405

Practice Phone: 718-451-1400
Practice Fax:

1629093273 — WALDBAUM INC
Practice Location Address:

2149 RALPH AVE
BROOKLYN, NY
11234-5405

Practice Phone: 718-531-7682
Practice Fax: 718-531-3852

1528138476 — RICHARD BODIAN PT
Practice Location Address:

2133 RALPH AVE
BROOKLYN, NY
11234-5405

Practice Phone: 718-451-1400
Practice Fax: 718-451-2797

1659447886 — GIOVANNI MATERIA PT
Practice Location Address:

2133 RALPH AVE
BROOKLYN, NY
11234-5405

Practice Phone: 718-451-1400
Practice Fax: 718-451-2797

1053488254 — MRS. LYNN P ROBERTSON PT
Practice Location Address:

2183A RALPH AVE
BROOKLYN, NY
11234-5405

Practice Phone: 718-451-1400
Practice Fax: 718-451-2797

Directions to “ MR. RICHARD A BODIAN PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.