Individual
MRS. CYNTHIA ESPINA BOLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12218 LINDEN BLVD, SOUTH OZONE PARK, NY 11420-2010
(917) 536-8027
Mailing address
12218 LINDEN BLVD, SOUTH OZONE PARK, NY 11420-2010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
222Q00000X
Developmental Therapist
862861
NY
Other
Enumeration date
03/03/2021
Last updated
08/03/2021
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