Phyllis Mary Bolgosano, RN

Key facts

NPI

1740440692

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

262932-1 (NY)

Practice address

9 Sedgwick Rd
Carmel, NY 10512-6943

Phone

(845) 225-9495

NPI assigned

Jun 13, 2008

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2008.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1740440692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SEDGWICK RD",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105126943",
            "telephone_number": "845-225-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SEDGWICK RD",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105126943",
            "telephone_number": "845-225-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLGOSANO",
        "first_name": "PHYLLIS",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "262932-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

• Raymond Binkowski Jr.
• Michele Blades
• Blockchain Medical Solutions
• Tricia Boffi
• Anne Boffoli-Bentzen, LCSWR
• Tricia Bonavoglia, OTR/L
• Joanne Bonnes, LCSW
• Giacinta Boulos, RPA-C
• Glenn Howard Boyar, M.D.
• Stephen Bradley, PHARMD

All providers in Carmel, NY · Registered Nurse in New York