Brian Bollo, MD
Surgery in Ithaca, NY. Individual provider (NPI-1).
NPI number1992943153
StatusActive
Last updated in NPPESFeb 16, 2012
Details
- NPI
- 1992943153
- Entity type
- Individual (NPI-1)
- Name
- Brian Bollo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2009
- Last updated
- Feb 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 252939 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1301 Trumansburg RdSuite E
Ithaca, NY 14850-1397
Phone 607-273-3161
Mailing address
1301 Trumansburg RdSuite E
Ithaca, NY 14850-1397
Phone 607-273-3161
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