IndividualActive
Maria Boulos
NPI 1801973771 · Pediatric Radiology Physician · Latham, NY
Provider details
- NPI number
- 1801973771
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 211666 (NY)
Practice location
711 Troy Schenectady Rd
Suite 114
Latham, NY 12110-2442
Phone: (518) 786-1600
Mailing address
711 Troy Schenectady Rd
Latham, NY 12110-2442
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2011-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.