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Dr. Kip Lord Bodi, MDFACS
Specialist in Greenlawn, New York
NPI 1982689428

Kip Lord Bodi is a Specialist based in Greenlawn, NY. Kip Lord Bodi practices in Greenlawn, NY and has the professional credentials of MDFACS. The NPI Number for Kip Lord Bodi is 1982689428 and holds a License No. 144782 (New York).

The current practice location address for Kip Lord Bodi is 284 Pulaski Rd, Greenlawn, NY and can be reached out via phone at 631-271-1608 and via fax at 631-271-1968.

Location: 284 Pulaski Rd, Greenlawn, NY, 11740-1602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982689428
Provider Name
Kip Lord Bodi
Credential
MDFACS
Provider Entity Type
Individual
Gender
Male
Address
284 Pulaski Rd, Greenlawn, NY, 11740-1602
Phone Number
631-271-1608
Fax Number
631-271-1968
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
284 Pulaski Rd
City
Greenlawn
State
New York
Zip
11740-1602
Phone Number
631-271-1608
Fax Number
631-271-1968
person
Provider Business Mailing Address Details
Address
284 Pulaski Rd
City
Greenlawn
State
New York
Zip
11740-1602
Phone Number
631-271-1608
Fax Number
631-271-1968
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
144782 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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