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Individual

ELENA BOLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
214 CORNELIA ST STE 102, PLATTSBURGH, NY 12901-2306
(518) 561-6410
Mailing address
10 KELLOGG CT, PLATTSBURGH, NY 12901-4314

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
272375
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
272375
NY

Other

Enumeration date
03/19/2007
Last updated
10/02/2013
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