Individual provider · Type 1 NPI

Swathi Rao Bolneni, PA-C

Medical Physician Assistant · Bronx, NY

NPI number 1306316351 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-9074 Map

Mailing address

600 E 233rd St
Bronx, NY 10466-2604

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X023077 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1306316351

Swathi Rao Bolneni, PA-C's National Provider Identifier is 1306316351, issued on Dec 3, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Oct 22, 2019.