Individual
MICHAEL VINCENT BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
350 NORTHERN BLVD, SUITE 101, ALBANY, NY 12204-1000
(518) 472-1023
(518) 472-1024
Mailing address
350 NORTHERN BLVD, SUITE 101, ALBANY, NY 12204-1000
(518) 472-1023
(518) 472-1024
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
05/28/2019
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