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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CODY WILLIAM BOLSTER

Active

MR. CODY WILLIAM BOLSTER is a Registered Dietitian healthcare provider located in ISLIP TERRACE, New York. NPI 1225987126 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · ISLIP TERRACE, NY

Registration Details

NPI Number
1225987126
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2026 (0.59444083197774 yrs)
Last Updated
Jan 23, 2026
License
013170 (NY)

Practice Information

Address
262 MANHATTAN BLVD
ISLIP TERRACE, NY, 11752
Browse NY providers · Browse ZIP 11752
Phone
6317075786
Primary Specialty
Registered Dietitian
133V00000X
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.