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General NPI Number Information
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NPI Number | 1336266337
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Entity Type | Individual
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Provider Name | WILLIAM M. BOLAND CES, NPRT, CPT
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 247 3RD AVE SUITE 503
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City | NEW YORK
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State | NY
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Zip | 10010-7457
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Country | US
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Telephone | 917-609-9476
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Fax |
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Provider Business Mailing Address
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Address Line | 247 3RD AVE SUITE 503
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City | NEW YORK
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State | NY
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Zip | 10010-7457
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Country | US
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Telephone | 917-609-9476
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Fax | 212-208-2686
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 000000
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License Number State | AS
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