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NPI Code Detail

MEDICARE: MRS. ALYCIA BOLINSKI

MEDICARE: MRS. ALYCIA BOLINSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant006875-1NY
2225100000XPhysical Therapist041704NY

General Provider Information

NPI Number : 1104062363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALYCIA BOLINSKI
Provider Business Mailing Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number : 315-218-7466
Provider Business Practice Location Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number : 315-218-7466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2008
Last Update Date : 03/09/2021

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Directions to “ MRS. ALYCIA BOLINSKI ” Practice Location

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