| Denise M Bolan, RPA C | |
|
4 Santanoni Dr, Newcomb, NY 12852 | |
| (518) 582-2991 | |
| (518) 582-2040 |
| Full Name | Denise M Bolan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 4 Santanoni Dr, Newcomb, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609946839 | NPI | - | NPPES |
| 01110874 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 002715 (New York) | Primary |
| 207Q00000X | Family Medicine | 0027151 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Denise M Bolan, RPA C 4 Santanoni Dr, Newcomb, NY 12852-1913 Ph: (518) 582-2991 | Denise M Bolan, RPA C 4 Santanoni Dr, Newcomb, NY 12852 Ph: (518) 582-2991 |
Megan Amber Rozell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Santanoni Dr, Newcomb, NY 12852 Phone: 518-582-2991 |
Kevin P Bolan, RPA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Santanoni Drive, Newcomb, NY 12852 Phone: 518-582-2991 Fax: 518-582-2040 |