Healthcare Provider Details

I. General information

NPI: 1407775869
Provider Name (Legal Business Name): EMILY BODINGER CD/PCD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LISA LN
EAST HAVEN CT
06512-1578
US

IV. Provider business mailing address

6 LISA LN
EAST HAVEN CT
06512-1578
US

V. Phone/Fax

Practice location:
  • Phone: 914-648-0979
  • Fax:
Mailing address:
  • Phone: 914-648-0979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number36
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: