Individual
ANJALI ELLEN BOSE-KOLANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 673, ROCHESTER, NY 14642-8673
(585) 275-1200
(585) 244-2529
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
282161
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2011
Last updated
05/18/2017
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