MARIA BOULOS (NPI# 1801973771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801973771 |
Entity Type | Individual |
Full Name | MARIA BOULOS |
Practice Address |
711 Troy Schenectady Rd Suite 114 Latham NY 12110-2442 |
Mailing Address |
711 Troy Schenectady Rd Suite 201 Latham NY 12110-2442 |
Practice Telephone | 5187861600 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2011-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
211666 | NY | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
211666 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01991033 | 05 |
Street Address |
711 TROY SCHENECTADY RD SUITE 114 |
City | LATHAM |
State | NY |
Zip Code | 12110-2442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134115157 | Junnong Tang | Physical Medicine & Rehabilitation | 711 Troy Schenectady Rd, Suite 207b, Latham, NY 12110-2442 | 2005-09-26 |
1841891678 | Sarah Evans | Physician Assistant | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2020-11-06 |
1598319881 | Raelyn Passino | Pharmacist | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2019-07-25 |
1720566623 | Lori A George | Counselor | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2018-08-02 |
1144760661 | Katharine Campbell | Occupational Therapist | 711 Troy Schenectady Rd, Suite 216, Latham, NY 12110 | 2017-03-02 |
1083157051 | Kyle Mckeighan | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-11-23 |
1356883052 | Diane Sweeney | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-11-11 |
1730630294 | Meghan T Brigham | Nurse Practitioner | 711 Troy Schenectady Rd, Suite 104, Latham, NY 12110-2442 | 2016-10-19 |
1720439243 | Ashley Crews | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-06-27 |
1639529712 | Michael Lynch | Radiology Practitioner Assistant | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2016-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
Find all providers in zip 12110 |
Taxonomy Code | 2085P0229X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Pediatric Radiology |
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053495861 | Lisa Ribons | Radiology | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2006-10-25 |
1619057676 | Barbara Dangman | Radiology | Crhp-711 Troy-schenectady Road, Suite 114, Latham, NY 12110 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477112191 | Peter F Temsah | Radiology | 6610 Grand Ave Apt 2a, Maspeth, NY 11378-2501 | 2019-06-06 |
1194123265 | Henry Arthur Pritzker | Radiology | 1205 Fountainview Dr, Monsey, NY 10952-2863 | 2014-12-05 |
1083905327 | Michael John Baad | Radiology | 525 E 68th St #141, Newyork-presbyterian/weill Cornell Medical College, New York, NY 10065-4885 | 2011-04-20 |
1164494225 | Antoine Rabinowitz | Radiology | 710 Guion Dr, Mamaroneck, NY 10543-4117 | 2006-02-03 |
1154324184 | Terri Antrenase Williams-weekes | Radiology | 47 New Scotland Ave, Radiology Department, Albany, NY 12208-3412 | 2005-05-23 |
1700410065 | Nadia Sultan | Radiology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-02-26 |
1679903579 | Dia Invision Health | Radiology | 100 College Pkwy, Suite 180, Williamsville, NY 14221-6800 | 2013-11-14 |
1417394529 | Irene Sher | Radiology | 111 E 210th St, Bronx, NY 10467-2401 | 2013-05-30 |
1053758250 | Sara Cohen | Radiology | 525 E 68th St, New York, NY 10065 | 2013-05-29 |
1922353689 | Anand Shyamcharan Majmudar | Radiology | 750 East Adams St, Syracuse, NY 13210-2306 | 2012-07-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.