Provider Demographics
NPI:1114697943
Name:BOISJOLI, TALYA (MS CGC)
Entity Type:Individual
Prefix:
First Name:TALYA
Middle Name:
Last Name:BOISJOLI
Suffix:
Gender:F
Credentials:MS CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 DEKALB AVENUE
Mailing Address - Street 2:WOMEN'S HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-250-8314
Mailing Address - Fax:718-250-8660
Practice Address - Street 1:121 DEKALB AVENUE
Practice Address - Street 2:WOMEN'S HEALTH CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-250-8314
Practice Address - Fax:718-250-8660
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS