Individual provider · Type 1 NPI
Denise M. Bolan, RPA C
Medical Physician Assistant · Newcomb, NY
NPI number
1609946839
Active
Practice location
4 Santanoni Dr
Newcomb, NY 12852
Fax (518) 582-2040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 0027151 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 002715 (NY) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1609946839
Denise M. Bolan, RPA C's National Provider Identifier is 1609946839, issued on Nov 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newcomb, NY. The record was last updated on Oct 4, 2016.