Boulos, Maria

Boulos, Maria is an individual health care provider with primary practice located at 711 Troy Schenectady Rd Suite 114, Latham NY 12110-2442. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Boulos, Maria can be contacted via phone (518) 786-1600.

Contact Information

Primary practice address
711 Troy Schenectady Rd Suite 114 Latham NY 12110-2442
Phone: (518) 786-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 211666 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 211666 New York

Profile Details

NPI number 1801973771
LBN Legal business name Boulos, Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Dec 6th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801973771 NPPES
New York MEDICAID 01991033

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