KIP L BODI PHYSICIAN FACS PLLC
Urology at Park Ave, Hunt, NY

License number
New York 144782
Category
Radiology
Type
Urology
Owner
Name: DR. KIP L BODI M.D.,F.A.C.S.
Title: PRESIDENT
Phone: (631) 271-1608
Address
Address
775 Park Ave SUITE 262, Hunt, NY 11743
National Provider ID: 1033340013
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIP L. BODI, PHYSICIAN, FACS, PLLC

Cold Spring Harbor, NY  -  Hunt, NY

Industry:
Medical Doctor's Office
Doing business as:
Kip L Bodi Physician Facs Pllc
Registration:
Feb 1, 2000
Addresses:
Box 23 BOX 235, Cold Spring Harbor, NY 11724 (Physical)
634 Park Ave, Hunt, NY 11743
State ID:
2468052
Business type:
Domestic Professional Service Limited Liability Company
President, Principal:
Kip Bodi (President, Principal)
Agent:
Facs Kip L. Bodi,634 Park Ave, Huntington, NY 11743 (Physical)

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