Active NPIIndividual provider

Nicole Bolzan

Occupational Therapist in Goshen, New York

NPI Number1568872463
Practice location
46 Harriman Dr, Goshen, NY 10924-2410
Fax
845-615-2224
Last updated
April 30, 2014

Nicole Bolzan is an Occupational Therapist based in Goshen, NY. Nicole Bolzan practices in Goshen, NY. The NPI Number for Nicole Bolzan is 1568872463 and holds a License No. 018825 (NY). The current practice location address for Nicole Bolzan is 46 Harriman Dr, Goshen, NY 10924-2410 and can be reached out via phone at 845-360-1200 and via fax at 845-615-2224.

Provider Profile Details

NPI Number
1568872463
Provider Name
Nicole Bolzan
Provider Entity Type
Individual
Gender
Female
Address
46 Harriman Dr, Goshen, NY 10924-2410
Phone Number
845-360-1200
Fax Number
845-615-2224
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
April 30, 2014
Last Update Date
April 30, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Harriman Dr
Goshen, NY 10924-2410
City
Goshen
Zip
10924-2410
Phone Number
845-360-1200
Fax Number
845-615-2224
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
16 Maybrook RD
Suite B
Campbell Hall, NY 10916-2743
City
Campbell Hall
State
NY
Zip
10916-2743

License Information

License Number
018825
License State
NY
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Bolzan?

The NPI number of Nicole Bolzan is 1568872463. It was assigned on April 30, 2014 and is currently active in the NPPES registry.

What is the specialty of Nicole Bolzan?

Nicole Bolzan is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 018825.

Where does Nicole Bolzan practice?

The practice location is 46 Harriman Dr, Goshen, NY 10924-2410. The office can be reached at 845-360-1200 (phone) or 845-615-2224 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568872463 directly on the NPPES registry website.

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