Individual
DENISE M BOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA C
Contact information
Practice address
4 SANTANONI DR, NEWCOMB, NY 12852
(518) 582-2991
(518) 582-2040
Mailing address
4 SANTANONI DR, NEWCOMB, NY 12852-1913
(518) 582-2991
(518) 582-2393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0027151
NY
363AM0700X
Medical Physician Assistant
Primary
002715
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01110874
—
NY
Enumeration date
11/08/2006
Last updated
10/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us