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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MONIQUE S BOULET, RD

Active Sole Proprietor

MS. MONIQUE S BOULET, RD is a Registered Dietitian healthcare provider located in LAKE GEORGE, New York. NPI 1649463753 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · LAKE GEORGE, NY

Registration Details

NPI Number
1649463753
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2007 (18.981221947938 yrs)
Last Updated
Jul 23, 2024
License
844475 (NY)
Sole Proprietor
Yes

Practice Information

Address
23 TRINITY ROCK RD
LAKE GEORGE, NY, 128456603
Browse NY providers · Browse ZIP 12845
Phone
5183126309
Primary Specialty
Registered Dietitian
133V00000X
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.