| Anthony K Bolton Phd Neuropsychology Pc | |
|
170 Route 25a Rocky Point NY 11778-8750 | |
| (631) 331-4377 | |
| (631) 331-4459 |
| Full Name | Anthony K Bolton Phd Neuropsychology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 170 Route 25a, Rocky Point, New York |
| Authorized Official Name and Position | Anthony Bolton (DIRECTOR) |
| Authorized Official Contact | 6313314377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony K Bolton Phd Neuropsychology Pc 170 Route 25a Rocky Point NY 11778-8750 Ph: (631) 331-4377 | Anthony K Bolton Phd Neuropsychology Pc 170 Route 25a Rocky Point NY 11778-8750 Ph: (631) 331-4377 |
| NPI Number | 1689910861 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 0345486619 |
|---|---|
| Medicare Enrollment ID | O20130412000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689910861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 011367-1 (New York) | Primary |
| Provider Name | Anthony K Bolton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275653032 PECOS PAC ID: 5991690778 Enrollment ID: I20040219000801 |
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