Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARINA BOULOS
Active Sole ProprietorPharmacotherapy Specialist · BRONX, NY
Registration Details
- NPI Number
- 1093666919
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2026 (0.20343571691616 yrs)
- Last Updated
- Feb 6, 2026
- License
-
072781 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 E 210TH STBRONX, NY, 104672401Browse NY providers · Browse ZIP 10467
- Phone
- 9083070088
- Fax
- 9083070088
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Other Pharmacotherapy Specialist Providers in BRONX, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. RENEE M HOFMAN | RPH. | 1467450924 |
| MR. PETER T LAO | RPH | 1437145802 |
| DR. HORATIO B FUNG | PHARMD | 1598729303 |
| DR. STEPHEN F KUCZYNSKI | R.PH., PH.D. | 1821194952 |
| DR. ROBERT G BLAIKLOCK | R.PH, PH.D | 1831297480 |
| MIKYUNG L LEE | PHARMD | 1831297811 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.