Individual
DANIEL DONAIRE BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 OLD COUNTRY RD STE 214, WESTBURY, NY 11590-5628
(516) 334-7000
Mailing address
13 PARKWOOD RD, WESTBURY, NY 11590-1505
(786) 999-2335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045430
NY
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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