Rhonda Lyssa Boltax

NPI #1255693842 in Great Neck, New York

Provider Information

NPI Number
1255693842
Entity Type
Individual
Name
Rhonda Lyssa Boltax
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Jun 11, 2012
Last Updated
Jun 11, 2012

Practice Location

Address
10 WEYBRIDGE RD
ZIP Code
11023-1241
Phone
(516) 773-1049

Specialties & Taxonomy Codes

Specialty
Specialist

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