Bolivar Placencia

NPI #1003570821 in Brooklyn, New York

Provider Information

NPI Number
1003570821
Entity Type
Individual
Name
Bolivar Placencia
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 27, 2021
Last Updated
Nov 4, 2021

Practice Location

Address
588 RIDGEWOOD AVE
ZIP Code
11208-1834
Phone
(646) 407-0095

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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