Kip L Bodi Physician Facs Pllc
NPI #1033340013 in Huntington, New York
Provider Information
- NPI Number
- 1033340013
- Entity Type
- Organization
- Organization Name
- Kip L Bodi Physician Facs Pllc
- Primary Specialty
- Urology
- Enumeration Date
- Aug 7, 2009
- Last Updated
- Aug 7, 2009
Practice Location
- Address
- 775 PARK AVE
- Address 2
- SUITE 262
- City
- Huntington
- State
- New York
- ZIP Code
- 11743-3976
- Phone
- (631) 271-1608
Authorized Official
- Name
- DR. KIP L BODI, M.D.,F.A.C.S.
- Title
- PRESIDENT
- Phone
- (631) 271-1608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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