Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BOULOS SAMUEL JR., PT
ActivePhysical Therapy Assistant · KEW GARDENS, NY
Registration Details
- NPI Number
- 1427044908
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2005 (20.580099768574 yrs)
- Last Updated
- Mar 3, 2011
- License
-
025891 (NY)
Practice Information
- Address
-
8046 KEW GARDENS RDKEW GARDENS, NY, 114151154Browse NY providers · Browse ZIP 11415
- Phone
- 7182611000
- Fax
- 7182610336
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KEW GARDENS, NY
| Name | Credential | NPI |
|---|---|---|
| EVELYN T BARON | PT | 1952524720 |
| MR. RONALD YAO CABISUDO | PT | 1659556652 |
| MISS NATALIE RICHARDSON | MPT | 1528392792 |
| MR. AYMAN S WASEF | PT: DPT | 1780951335 |
| DORA JUDITA BETANCOURT-HINCAPIE | PT | 1336410372 |
| MR. ANDREW DAMION MARRIOTT | DPT | 1376817361 |
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.