Boland, Deborah Mccarthy

Boland, Deborah Mccarthy is an sole proprietor health care provider with primary practice located at 635 James St , Syracuse NY 13203-2226. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Boland, Deborah Mccarthy can be contacted via phone (315) 671-2964.

Contact Information

Primary practice address
635 James St Syracuse NY 13203-2226
Phone: (315) 671-2964
Fax: (315) 671-2943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 3204651 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F3803031 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401476 New York

Profile Details

NPI number 1356542401
LBN Legal business name Boland, Deborah Mccarthy
Credentials RN MS CPNP FPMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Oct 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356542401 NPPES
New York MEDICAID 02745426

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