Individual
BRIAN BOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 TRUMANSBURG RD, SUITE E, ITHACA, NY 14850-1397
(607) 273-3161
Mailing address
1301 TRUMANSBURG RD, SUITE E, ITHACA, NY 14850-1397
(607) 273-3161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
252939
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2009
Last updated
02/16/2012
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