Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KATHERINE LOUISE BODER, PA-C
ActiveMS. KATHERINE LOUISE BODER, PA-C is a Physician Assistant healthcare provider located in GREENLAWN, New York. NPI 1174711816 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GREENLAWN, NY
Registration Details
- NPI Number
- 1174711816
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2007 (18.840207802687 yrs)
- Last Updated
- Jul 12, 2025
- License
-
008885 (NY)
Practice Information
- Address
-
112 DARROW LNGREENLAWN, NY, 117402907Browse NY providers · Browse ZIP 11740
- Phone
- 9175459061
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GREENLAWN, NY
| Name | Credential | NPI |
|---|---|---|
| LEE ANN TRICARICO-FLOMAN | P.A. | 1992830202 |
| KERRI LYN QUAIL | RPA-C | 1073788600 |
| MRS. MEGAN SHUKRI | PA-C | 1265662852 |
| KRISTEN KELLY | PA-C | 1922617612 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.