Organization
ANTHONY K BOLTON PHD NEUROPSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BOLTON PHD (DIRECTOR)
(631) 331-4377
Entity
Organization
Contact information
Practice address
170 ROUTE 25A, ROCKY POINT, NY 11778-8750
(631) 331-4377
(631) 331-4459
Mailing address
170 ROUTE 25A, ROCKY POINT, NY 11778-8750
(631) 331-4377
(631) 331-4459
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
011367-1
NY
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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