Individual
DR. HARRY N BOLTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 ROBINSON AVE, C/O ORANGE RADIOLOGY ASSOCIATES, P.C., NEWBURGH, NY 12550-3353
(845) 565-1989
(845) 863-0072
Mailing address
204 HARBOR CV, PIERMONT, NY 10968-1087
(845) 565-1989
(845) 863-0072
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
092731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00149904
—
NY
Enumeration date
03/14/2006
Last updated
06/13/2012
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