Provider Demographics
NPI:1417000498
Name:BOBDE, ELIZABETH PATSY (MD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:PATSY
Last Name:BOBDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:PATSY
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:970 N BROADWAY
Mailing Address - Street 2:SUITE #201
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1309
Mailing Address - Country:US
Mailing Address - Phone:914-966-1900
Mailing Address - Fax:914-966-0028
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:SUITE #201
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:914-966-1900
Practice Address - Fax:914-966-0028
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217852208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics