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General NPI Number Information
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NPI Number | 1104815679
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Entity Type | Individual
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Provider Name | JAY M BOLNICK MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 3050 ORCHARD PARK RD
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City | WEST SENECA
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State | NY
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Zip | 14224-4658
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Country | US
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Telephone | 716-675-5222
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Fax | 716-675-9329
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Provider Business Mailing Address
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Address Line | 3050 ORCHARD PARK RD
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City | WEST SENECA
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State | NY
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Zip | 14224-4658
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Country | US
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Telephone | 716-766-5222
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Fax | 716-675-9329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 237929
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | MD438097
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 237929-1
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License Number State | NY
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