Individual provider · Type 1 NPI

Kip Lord Bodi, MD FACS

Specialist · Greenlawn, NY

NPI number 1982689428 Active

Practice location

284 Pulaski Rd, 2nd Floor
Greenlawn, NY 11740-1602

Call (631) 271-1608 Map

Fax (631) 271-1968

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X144782 (NY)

Specialist: 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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About NPI 1982689428

Kip Lord Bodi, MD FACS's National Provider Identifier is 1982689428, issued on Dec 7, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Greenlawn, NY. The record was last updated on Apr 5, 2017.