Individual
MARIKA BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 ADAM CLAYTON POWELL JR BLVD FL 4, NEW YORK, NY 10027-4941
(347) 628-4732
Mailing address
2090 ADAM CLAYTON POWELL JR BLVD FL 4, NEW YORK, NY 10027-4941
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
767858-01
NY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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