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

MS. Katherine Louise Boder, PA-C

Individual provider Physician Assistant · NPI 1174711816

MS. Katherine Louise Boder, PA-C is a Physician Assistant in Greenlawn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

112 Darrow Ln
Greenlawn, NY 11740-2907
Phone: (917) 545-9061
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008885 (NY)

Record details

NPI number1174711816
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2007
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025

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