Individual
MS. DAHLIA JEANETTA BOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
217 FOREST GRN, STATEN ISLAND, NY 10312-1715
(718) 360-6842
Mailing address
217 FOREST GRN, STATEN ISLAND, NY 10312-1715
(718) 360-6842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348892
NY
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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