Individual
SALVATORE E BOLOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7111
Mailing address
PO BOX 410944, MELBOURNE, FL 32941-0944
(561) 762-2823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
313410
NY
367500000X
Certified Registered Nurse Anesthetist
ARNP1303222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034206800
—
FL
01
—
P00646402
RAILROAD MEIDCARE
FL
Enumeration date
09/20/2006
Last updated
04/25/2024
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