Individual provider · Type 1 NPI
Cody William Bolster
Registered Dietitian · Islip Terrace, NY
Practice location
262 Manhattan Blvd
Islip Terrace, NY 11752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 013170 (NY) |
Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…
About NPI 1225987126
Cody William Bolster's National Provider Identifier is 1225987126, issued on Jan 23, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Islip Terrace, NY. The record was last updated on Jan 23, 2026.