Organization
NEVA T BOLDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEVA TANEISHA BOLDING RN (REGISTERED NURSE)
(631) 828-8924
Entity
Organization
Contact information
Practice address
65 WEDGEWOOD DR, CORAM, NY 11727-1239
(631) 828-8924
Mailing address
65 WEDGEWOOD DR, CORAM, NY 11727-1239
(631) 828-8924
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
629039
NY
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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