Marcia Bolah, RN
Registered Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1164085627
StatusActive
Last updated in NPPESApr 19, 2019
Details
- NPI
- 1164085627
- Entity type
- Individual (NPI-1)
- Name
- Marcia Bolah
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2019
- Last updated
- Apr 19, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 760070 | NY | Yes |
Practice location
592 Rockaway AveBrooklyn, NY 11212-5539
Phone 718-345-5000 · Fax 718-345-5794
Mailing address
592 Rockaway AveBrooklyn, NY 11212-5539
Phone 718-345-5000 · Fax 718-345-5794
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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