Organization
JOHN L. BOLLING, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LAWRENCE BOLLING M.D. (PSYCHIATRIST)
(212) 281-9939
Entity
Organization
Contact information
Practice address
203 W 138TH ST, NEW YORK, NY 10030-2102
(212) 281-9939
(212) 281-9939
Mailing address
203 W 138TH ST, NEW YORK, NY 10030-2102
(212) 281-9939
(212) 281-9939
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
104449-1
NY
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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