Individual
CATHERINE BOLOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1971 WESTERN AVE, ALBANY, NY 12203-5066
(518) 869-6220
(518) 869-6465
Mailing address
1971 WESTERN AVE, ALBANY, NY 12203-5066
(518) 869-6220
(518) 869-6465
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
020653-1
NY
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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