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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447991195

Nathan Bodette, MD is a Student in an Organized Health Care Education/Training Program in Brooklyn, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
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

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone: (651) 895-3023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7901 Broadway, Elmhurst, NY 11373-1329 — (718) 334-4000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 340342 (NY)

Record details

NPI number1447991195
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address450 Clarkson Ave # 1262, Brooklyn, NY 11203-2012

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