Most Relevant Information
Provider Data
| NPI Number: | 1003527326 |
| Provider Name: | ANGELINA BOLORIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2022 |
| Last Updated: | 12/07/2022 |
Provider Practice Location
644 W 173RD ST APT C5
NEW YORK
NY
100321436
Practice Location Phone/Fax
| Phone: | 9175694995 |
| Fax: |
Provider Mailing Location
644 W 173RD ST APT C5
NEW YORK
NY
100321436
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |