Susan K Boolbol is a Surgery in Poughkeepsie, New York. Susan K Boolbol practices all healthcare services and medical treatments related to Surgery. The NPI Number for Susan K Boolbol is 1154305720. The last update date is 2021-12-06.
Susan K Boolbol's current location address is 21 Reade Pl Ste 2100, Poughkeepsie, New York. You can contact this provider via phone number 8452141837. The mailing address for Susan K Boolbol is 21 Reade Pl Ste 2100, Poughkeepsie, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan K Boolbol |
|---|---|
| Address | 21 Reade Pl Ste 2100, Poughkeepsie, New York |
| Phone Number | 8452141837 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154305720 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2021-12-06 |
Provider Mailing Address Detail
| Address | 21 Reade Pl Ste 2100 |
|---|---|
| City | Poughkeepsie |
| State | New York (NY) |
| Post Code | 126013968 |
| Phone Number | 8452141837 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 67054 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2169877 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan K Boolbol by the Centers for Medicare & Medicaid Services (CMS)?
The Susan K Boolbol has been assigned the NPI (National Provider Identifier) 1154305720. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Susan K Boolbol is geographically located?
The Susan K Boolbol is physically situated at the following location: 21 Reade Pl Ste 2100, Poughkeepsie, NY, 126013968.
What is Susan K Boolbol's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan K Boolbol's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154305720 to Susan K Boolbol?
The Susan K Boolbol received its 1154305720 assignment from the Centers for Medicare & Medicaid Services on 2005-12-06.
As of what date was the information regarding Susan K Boolbol, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan K Boolbol, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-06.