Individual
DANIEL PABAYO BOLOCBOLOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
57-18 WOODSIDE AVE, STE 101, 2ND FLOOR, WOODSIDE, NY 11377-3415
(347) 527-2257
(888) 720-6963
Mailing address
36 MAINSAIL DR, PATCHOGUE, NY 11772-3434
(516) 812-7864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348662
NY
Other
Enumeration date
01/12/2022
Last updated
06/21/2022
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