National Provider Identifier
Brian Bollo, MD
Brian Bollo, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Ithaca, NY and a listed phone number of (607) 273-3161.
Profile Overview
- NPI
- 1992943153
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- January 27, 2009
- Last Updated
- February 16, 2012
Practice Location
- 1301 Trumansburg RD
- Suite E
- Ithaca, NY 14850-1397
Phone: (607) 273-3161
Specialties
- Surgery Physician (208600000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1992943153
- Entity Type
- Individual
- Last Name
- Bollo
- First Name
- Brian
- Credential
- MD
- Mailing Street Address
- 1301 Trumansburg RD
- Mailing Address Line 2
- Suite E
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1397
- Mailing Country
- US
- Mailing Phone
- (607) 273-3161
- Practice Street Address
- 1301 Trumansburg RD
- Practice Address Line 2
- Suite E
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1397
- Practice Country
- US
- Practice Phone
- (607) 273-3161
- Enumeration Date
- January 27, 2009
- Last Updated
- February 16, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X), Student in an Organized Health Care Education/Training Program (390200000X)