| Maria Boulos, | |
|
711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | |
| (518) 786-1600 | |
| Not Available |
| Full Name | Maria Boulos |
|---|---|
| Gender | Female |
| Speciality | Radiology - Pediatric Radiology |
| Location | 711 Troy Schenectady Rd, Latham, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801973771 | NPI | - | NPPES |
| 01991033 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085P0229X | Radiology - Pediatric Radiology | 211666 (New York) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 211666 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Boulos, 711 Troy Schenectady Rd, Suite 201, Latham, NY 12110-2442 Ph: () - | Maria Boulos, 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 Ph: (518) 786-1600 |
Carlton Phelps, Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Lisa Ribons, Radiology Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste G06, Latham, NY 12110 Phone: 518-786-1600 Fax: 518-786-1606 | |
Phuong Vinh, Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Rupal Patel, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, 114, Latham, NY 12110 Phone: 518-786-1600 | |
Samit N Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 Fax: 518-786-1606 | |
Allen Herr, Radiology Medicare: Accepting Medicare Assignments Practice Location: Crhp-711 Troy-schenectady Road, Suite 114, Latham, NY 12110 Phone: 518-786-1600 | |
Ellen Czajka, Radiology Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110 Phone: 518-786-1600 |