Individual
MS. DEBORAH MCCARTHY BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MS CPNP FPMHNP
Contact information
Practice address
635 JAMES ST, SYRACUSE, NY 13203-2226
(315) 671-2964
(315) 671-2943
Mailing address
635 JAMES ST, SYRACUSE, NY 13203-2226
(315) 671-2959
(315) 422-0948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3204651
NY
363LP0200X
Pediatric Nurse Practitioner
F3803031
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02745426
—
NY
Enumeration date
05/29/2007
Last updated
10/14/2016
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