Boulos, Alan Samuel
Boulos, Alan Samuel is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Boulos, Alan Samuel can be contacted via phone (518) 262-5088.Contact Information
Primary practice address
47 New Scotland Ave
Albany NY 12208-3412
Phone: (518) 262-5088
Fax: (518) 262-5400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 216291-1 | New York |
Profile Details
| NPI number | 1821090747 |
|---|---|
| LBN Legal business name | Boulos, Alan Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821090747 | NPPES |
| New York | MEDICAID | 02310474 |
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