Individual
MRS. CHERYL MARIE BOLEBRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6 KENMORE RD, GARDEN CITY, NY 11530-1022
(516) 437-7645
(516) 616-6065
Mailing address
6 KENMORE RD, GARDEN CITY, NY 11530-1022
(516) 437-7645
(516) 616-6065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/06/2012
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