Gulmira Boltaeva

NPI 1275242851 · on the registry since 2022

Practice

Address: 1901 Avenue P Apt 3b
Brooklyn, NY 11229
Phone: (347) 543-5255
Organisation at this address: Marlene Charles Md Pc
Revived Soul Medical Pc
Recondite Assistance Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 163WM0705X
363LF0000X
Licence states on file: NJ, NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York