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

DR. KIP LORD BODI, MD FACS

Active

DR. KIP LORD BODI, MD FACS is a Specialist healthcare provider located in GREENLAWN, New York. NPI 1982689428 is currently active in the NPPES registry. Verify at CMS.

Specialist · GREENLAWN, NY

Registration Details

NPI Number
1982689428
Provider Type
Individual
Gender
Male
NPI Issued
Dec 7, 2005 (20.64451883836 yrs)
Last Updated
Apr 5, 2017
License
144782 (NY)

Practice Information

Address
284 PULASKI RD
2ND FLOOR
GREENLAWN, NY, 117401602
Browse NY providers · Browse ZIP 11740
Phone
6312711608
Fax
6312711968
Primary Specialty
Specialist
174400000X

Other Specialist Providers in GREENLAWN, NY

Name Credential NPI
LORI LIZZO 1639550882
RACHEL MCCULLOUGH 1114649233
MS. DANIELLE SANGIOVANNI 1700612843
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.