DANIEL PABAYO BOLOCBOLOC NPI 1548911506

NPI Information

  • NPI: 1548911506
  • Provider Name: DANIEL PABAYO BOLOCBOLOC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 57-18 WOODSIDE AVE
    STE 101, 2ND FLOOR
    WOODSIDE, NY
    ZIP 11377
  • Phone: (347) 527-2257

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NPI Details

Daniel Pabayo Bolocboloc is a family nurse practitioner in Woodside, NY with 5 years of experience. Daniel Pabayo Bolocboloc NPI is 1548911506. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:2021

The provider's business location address is:

57-18 WOODSIDE AVE
STE 101, 2ND FLOOR
WOODSIDE, NY
ZIP 11377-415
Phone: (347) 527-2257
Fax: (888) 720-6963

The NPI 1548911506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 6/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily348662NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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