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1275653032
ANTHONY BOLTON
PORT JEFFERSON, NY
NPI
1275653032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 0113678)
Enumeration Date
2007-03-29
Last Update Date
2015-07-17
Business Address
-- ANTHONY BOLTON PhD
464 MAIN ST SUITE B
PORT JEFFERSON, NY 11777-2814
Phone number: 631-331-4377
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Mailing Address
-- ANTHONY BOLTON PhD
170 ROUTE 25A
ROCKY POINT, NY 11778-8750
Phone number: 631-331-4437
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