Marilyn C Bolanos

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

011146 Issued in NY

Practice address

1104 Hunters Run
Dobbs Ferry, NY 10522-3419

Phone

(718) 530-4708

Fax

(914) 231-6371

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1447405642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 HUNTERS RUN",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223419",
            "telephone_number": "718-530-4708",
            "fax_number": "914-231-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 HUNTERS RUN",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223419",
            "telephone_number": "718-530-4708",
            "fax_number": "914-231-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "MARILYN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "011146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Blakeley, NP
• David Blanco, DPT
• Victoria B Bloom, CD (DTI)
• Dana Marie Bobe, MSED
• Mary E Bohlen
• Joseph J Bova
• Patricia Bova
• Joseph Boyd, LMLSW
• Penelope Elise Brabham-Jones, LCSW
• Jaelyn Britton

• Pediatric Occupational Therapist in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.