Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Staci M Bodner, MD

Individual provider Pediatrics Physician · NPI 1245269026

Dr. Staci M Bodner, MD is a Pediatrics Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

125 E 72nd St Ste 1A
New York, NY 10021-4298
Phone: (212) 988-6500
Fax: (646) 559-4960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 222759 (NY)

Record details

NPI number1245269026
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2006
Last updated in NPPESDecember 16, 2014

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