Doctor Name: | JAY M BOLNICK |
NPI Number: | 1104815679 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 237929 |
Business Practice Address: | 3050 Orchard Park Rd West Seneca, NY - 142244658 |
Business Phone Number: | 7166755222 |
Business Fax Number: | 7166759329 |
Mailing Address: | 3050 Orchard Park Rd, WEST SENECA |
State: | NY |
Postal Code: | 142244658 |
Phone Number: | 7166755222 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 10/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VE0102X |
License Number: | 237929 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Reproductive Endocrinology |
Taxonomy Definition: | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |