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Bolivar Placencia

NPI 1003570821 · on the registry since 2021 · sole proprietor

Practice

Address
588 Ridgewood Ave
Brooklyn, NY 11208
Phone
(646) 407-0095

Registry record

Primary taxonomy
332B00000X
332B00000X
Also registered as
332B00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York