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Individual

MR. WILLIAM M. BOLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CES, NPRT, CPT

Contact information

Practice address
247 3RD AVE, SUITE 503, NEW YORK, NY 10010-7457
(917) 609-9476
Mailing address
247 3RD AVE, SUITE 503, NEW YORK, NY 10010-7457
(917) 609-9476
(212) 208-2686

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
000000
AS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1180319
AETNA HEALTH MANAGEMENT
NY
01
2946934
OHIO CASUALTY GROUP INSUR
NJ
01
P3609467
OXFORD HEALTH PLANS
CT
Enumeration date
03/23/2007
Last updated
05/23/2016
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