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Micheline Boulis

NPI 1609241942 · on the registry since 2015

Practice

Address
5 Croft Pl
Staten Island, NY 10314
Phone
(718) 354-0957

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-12-12

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