Individual
DR. MICHAEL PATRICK BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1539 CRESCENT RD, CLIFTON PARK, NY 12065-7701
(518) 373-9999
(518) 373-8887
Mailing address
1539 CRESCENT RD, CLIFTON PARK, NY 12065-7701
(518) 373-9999
(518) 373-8887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
XOO8963
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08963
WORKERS COMPENSATION
NY
01
—
XOO8963
NYS LICENSE NUMBER
NY
Enumeration date
09/20/2006
Last updated
05/06/2010
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