IndividualActive
Adam Boll, PA
NPI 1174643159 · Orthopaedic Surgery Physician · Glen Cove, NY
Provider details
- NPI number
- 1174643159
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- P55215 (NY)
Mailing address
972 Brush Hollow Rd
Westbury, NY 11590-1740
Registry dates
- Enumerated
- 2007-03-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.