Individual
DR. MICHAEL EDWARD BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
550 5TH AVE, BROOKLYN, NY 11215-7373
(718) 258-3300
Mailing address
165 E 19TH ST APT 6P, BROOKLYN, NY 11226-4831
(570) 351-2534
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049765
PT LICENSE NUMBER
NY
Enumeration date
11/18/2022
Last updated
11/18/2022
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