Most Relevant Information
Provider Data
| NPI Number: | 1003596099 |
| Provider Name: | CAROL BOZZO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/24/2023 |
| Last Updated: | 07/24/2023 |
Provider Practice Location
6012 COUNTY FARM RD
BALLSTON SPA
NY
120202251
Practice Location Phone/Fax
| Phone: | 5185847460 |
| Fax: |
Provider Mailing Location
6012 COUNTY FARM RD
BALLSTON SPA
NY
120202251
Provider Mailing Phone/Fax
| Phone: | 5185847460 |
| Fax: |