JEROME BOLING


Address: 2090 7th Ave Fl 4, New York, NY 10027-4941
Phone: 6462996686

JEROME BOLING (NPI# 1417313024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417313024
Entity Type Individual
Full Name JEROME BOLING
Credential R.N.
Practice Address 2090 7th Ave Fl 4
New York
NY 10027-4941
Practice Telephone 6462996686
Mailing Telephone 6462996686
Enumeration Date 2016-01-12
Last Update Date 2016-01-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
531109 NY Ambulatory Health Care Facilities

Office Location

Street Address 2090 7TH AVE FL 4
City NEW YORK
State NY
Zip Code 10027-4941

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NPI Name Taxonomy Address Enumeration
1235607375 Center for Alternative Sentencing and Employment Services, Inc. Community/Behavioral Health 2090 7th Ave Fl 4, New York, NY 10027-4941 2018-11-07

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1407418379 Housing Works Services, Inc. Clinic/Center 743- East 9th Street, Omh Department, New York, NY 10009 2019-07-01
1184196644 Gab Brands, LLC Clinic/Center 505 W 54th St Apt 713, New York, NY 10019-5059 2018-12-21
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1447707146 Gary M Prottas, Lcsw Psychotherapist Pllc Clinic/Center 20 West 20th Street, Room 239, New York, NY 10011-4313 2016-09-09
1881043370 Margaret M. Rombone, Ph.d. Clinic/Center 51 E 25th St Ste 7h, New York, NY 10010-8209 2016-06-06
1003270224 Peter Reznik Clinic/Center 1641 3rd Ave Ste 201, New York, NY 10128-3623 2016-04-13
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Competitor

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City NEW YORK
Zip Code 10027

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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