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NPI Code Detail

MEDICARE: EMMELYN BOLIGOR DARIA

MEDICARE: EMMELYN BOLIGOR DARIA
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
1163W00000XRegistered Nurse665170NY

General Provider Information

NPI Number : 1912854498
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMELYN BOLIGOR DARIA
Provider Business Mailing Address
First Line : 1745 HANCOCK ST
Second Line :
City : HEWLETT
State : NY
Zip : 11557-1606
Country : US
Telephone Number : 646-672-6767
Fax Number : 646-672-6893
Provider Business Practice Location Address
First Line : 102 RIVERS EDGE RD
Second Line :
City : NEW YORK
State : NY
Zip : 10035-1163
Country : US
Telephone Number : 646-672-6767
Fax Number : 646-672-6893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ EMMELYN BOLIGOR DARIA ” Practice Location

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