Individual
BRIDGID M BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 BAY RIDGE AVE, BROOKLYN, NY 11219-6015
(516) 375-7701
Mailing address
188 PINE ST, ROCKVILLE CENTRE, NY 11570-2520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1230726181
NY
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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