POLINA BOLOTIN NP
NPI 1659919215
Nurse Practitioner - Family in Bronx, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since December 13, 2019

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 27, 2019, Dec 13, 2019 (2 updates tracked since 2019).

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About Polina Bolotin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLINA BOLOTIN NP (NPI 1659919215) is an individual family provider in Bronx, New York, licensed in New York (F345327) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1659919215

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePOLINA BOLOTINCredential: NP

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address1434 Williamsbridge RdBronx, NY 10461-2507 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorNo

Enumeration DateDecember 13, 2019

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedDecember 27, 2019

✔ NPI 1659919215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F345327

2015 GRAND CONCOURSE, Bronx, NY 10453

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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