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

Mr. Cody William Bolster

Individual provider Registered Dietitian · NPI 1225987126

Mr. Cody William Bolster is a Registered Dietitian in Islip Terrace, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

262 Manhattan Blvd
Islip Terrace, NY 11752
Phone: (631) 707-5786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 013170 (NY)

Record details

NPI number1225987126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2026
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 21, 2026