MICHAEL HENRY BOLUS

BROOKLYN, NY
NPI1598041501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  401420)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
Mr. MICHAEL HENRY BOLUS PMHNP
451 CLARKSON AVE
BROOKLYN, NY 11203-2054
Phone number: 718-245-3131
Mailing Address
Mr. MICHAEL HENRY BOLUS PMHNP
1113 E 73RD ST
BROOKLYN, NY 11234-5400
Phone number: 718-763-5633
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