Marybeth Bossolini
Marybeth Bossolini is a Nurse Practitioner in Troy, New York. Qualified in 2014, 12 years ago. Practices with W Bruce Clark MD PC, a 5-clinician group. Licensed in New York.
- Years since qualifying
- 12
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
101 Jordan Rd Ste 200Troy, NY 12180-8309
Phone: (518) 274-0476
Fax: (518) 274-0497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 338889 (NY) |
|---|
Record details
| NPI number | 1871908335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 24, 2014 |
| Last updated in NPPES | March 22, 2016 |
| Mailing address | 711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2442 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | W Bruce Clark Md Pc — 5 clinicians |
| Accepts Medicare assignment | Not indicated |
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