Individual
MS. SVETLANA BOLDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
100 W 84TH ST, NEW YORK, NY 10024-4618
(212) 579-0752
Mailing address
1674 W 5TH ST APT D10, BROOKLYN, NY 11223-1474
(347) 559-9367
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
627457
NY
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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