Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIA BOULOS
ActiveMARIA BOULOS is a Pediatric Radiology healthcare provider located in LATHAM, New York. NPI 1801973771 is currently active in the NPPES registry. Verify at CMS.
Pediatric Radiology · LATHAM, NY
Registration Details
- NPI Number
- 1801973771
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2006 (19.787253730164 yrs)
- Last Updated
- Dec 6, 2011
- Licenses
-
211666 (NY)211666 (NY)
Practice Information
- Address
-
711 TROY SCHENECTADY RDSUITE 114LATHAM, NY, 121102442Browse NY providers · Browse ZIP 12110
- Phone
- 5187861600
- Primary Specialty
-
Pediatric Radiology
2085P0229X
- Additional Specialty
- Diagnostic Radiology
Other Pediatric Radiology Providers in LATHAM, NY
| Name | Credential | NPI |
|---|---|---|
| BARBARA DANGMAN | — | 1619057676 |
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.