Individual
DR. MARTIN J BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
760 BROADWAY, WOODHULL MENTAL & MEDICAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 260-7507
Mailing address
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230, WOODHULL MENTAL & MEDICAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6887-1
NY
Other
Enumeration date
03/13/2007
Last updated
07/08/2014
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