Bolton, Gabrielle

Bolton, Gabrielle is an individual health care provider with primary practice located at 15 N Broadway 2Nd Floor, White Plains NY 10601-2214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bolton, Gabrielle can be contacted via phone (914) 428-6000.

Contact Information

Primary practice address
15 N Broadway 2Nd Floor White Plains NY 10601-2214
Fax: (914) 593-7881
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 119650 New York

Profile Details

NPI number 1184698219
LBN Legal business name Bolton, Gabrielle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 20th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184698219 NPPES
New York Other 110227809 RAIL ROAD MEDICARE
New York MEDICAID 01120736 RAIL ROAD MEDICARE
New York Other 18G763K223 RAIL ROAD MEDICARE

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