Individual
DR. HANNIE ZOMER BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1180 MORRIS PARK AVE STE 3, BRONX, NY 10461-1925
(347) 498-2410
Mailing address
1525 BLONDELL AVE, BRONX, NY 10461-2649
(718) 405-8530
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
317819
NY
2080P0201X
Pediatric Allergy/Immunology Physician
317819
NY
Other
Enumeration date
04/04/2017
Last updated
11/18/2022
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