Individual
GEORGE BOLOTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 MAIN ST, BEDFORD HILLS, NY 10507-1814
(914) 666-2220
Mailing address
52 MAIN ST, BEDFORD HILLS, NY 10507-1814
(914) 666-2220
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
01078511A
IN
2086S0129X
Vascular Surgery Physician
Primary
297341
NY
Other
Enumeration date
06/12/2012
Last updated
05/10/2023
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