Boland, Deborah Mccarthy
Boland, Deborah Mccarthy is an sole proprietor health care provider with primary practice located at 635 James St , Syracuse NY 13203-2226. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Boland, Deborah Mccarthy can be contacted via phone (315) 671-2964.Contact Information
Primary practice address
635 James St
Syracuse NY 13203-2226
Phone: (315) 671-2964
Fax: (315) 671-2943
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 3204651 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F3803031 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F401476 | New York |
Profile Details
NPI number | 1356542401 |
---|---|
LBN Legal business name | Boland, Deborah Mccarthy |
Credentials | RN MS CPNP FPMHNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 29th, 2007 |
Last updated | Oct 14th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356542401 | NPPES |
New York | MEDICAID | 02745426 |
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