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Denise M Bolan, RPAC
Medical Physician Assistant in Newcomb, New York
NPI 1609946839

Denise M Bolan is a Medical Physician Assistant based in Newcomb, NY and is specialized in Medical. Denise M Bolan practices in Newcomb, NY and has the professional credentials of RPAC. The NPI Number for Denise M Bolan is 1609946839 and holds a License No. 0027151 (New York).

The current practice location address for Denise M Bolan is 4 Santanoni Dr, Newcomb, NY and can be reached out via phone at 518-582-2991 and via fax at 518-582-2040.

Location: 4 Santanoni Dr, Newcomb, NY, 12852-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609946839
Provider Name
Denise M Bolan
Credential
RPAC
Provider Entity Type
Individual
Gender
Female
Address
4 Santanoni Dr, Newcomb, NY, 12852-1913
Phone Number
518-582-2991
Fax Number
518-582-2040
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01110874 05 NY
institution
Provider Business Practice Location Address Details
Address
4 Santanoni Dr
City
Newcomb
State
New York
Zip
12852
Phone Number
518-582-2991
Fax Number
518-582-2040
person
Provider Business Mailing Address Details
Address
4 Santanoni Dr
City
Newcomb
State
New York
Zip
12852
Phone Number
518-582-2991
Fax Number
518-582-2040
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
002715 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0027151 (New York)
Definition
Definition to come...
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