Individual
DR. ANNIE BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 UNIVERSITY PL, SUITE #3A, NEW YORK, NY 10003-4564
(917) 847-9356
Mailing address
21 E 10TH ST, #9E, NEW YORK, NY 10003-5923
(917) 847-9356
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
174268
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
174268
NY
Other
Enumeration date
05/02/2007
Last updated
02/05/2015
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