Individual
SUSAN J BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6110 STATE ROUTE 8, CHESTERTOWN, NY 12817-2417
(518) 494-3015
(518) 494-4601
Mailing address
6110 STATE ROUTE 8, CHESTERTOWN, NY 12817-2417
(518) 494-3015
(518) 494-4601
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
332492-1
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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