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MARIA BOULOS
NPI 1801973771
Radiology - Pediatric Radiology in Latham, NY

Active since October 31, 2006
711 TROY SCHENECTADY RD, SUITE 114, LATHAM, NY 12110(518) 786-1600 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maria Boulos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA BOULOS (NPI 1801973771) is an individual pediatric radiology provider in Latham, New York, licensed in New York (211666) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1801973771
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameMARIA BOULOS
Location Address711 TROY SCHENECTADY RD, SUITE 114Latham, NY 12110-2442
Mailing Address711 Troy Schenectady Rd, Suite 201Latham, NY 12110-2442
Phone(518) 786-1600
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateDecember 6, 2011
✔ NPI 1801973771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in NY · 211666
Definition
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.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 211666 (NY)
711 TROY SCHENECTADY RD, Latham, NY 12110
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Other Identifiers 3

Medicare PINRB2800NY
Medicare UPINH06841NY
Medicaid01991033NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROBIN RENAE GOSS OTRL
Occupational Therapist
711 TROY SCHENECTADY RD, THOMAS NICOLLA CONSULTING SUITE 209
LATHAM, NY 12110
Albany County (518) 786-1667
CARLTON PHELPS
Radiology (Diagnostic Radiology)
711 TROY SCHENECTADY RD, SUITE 114
LATHAM, NY 12110
Albany County (518) 786-1600
CHERYL L BUCKLEY
Psychologist (School)
711 TROY SCHENECTADY RD, SUITE 216
LATHAM, NY 12110
Albany County (518) 786-1665
LINDSAY DECHOW OT
Specialist
711 TROY SCHENECTADY RD, SUITE 216
LATHAM, NY 12110
Albany County (518) 786-1665
THOMAS CHRISTOPHER NICOLLA JR. PT
Physical Therapist
711 TROY SCHENECTADY RD, SUITE 214
LATHAM, NY 12110
Albany County (518) 690-2882
TRISHA MACKENZIE PT
Physical Therapist
711 TROY SCHENECTADY RD, SUITE 214
LATHAM, NY 12110
Albany County (518) 690-2882
BROMWYN HELENE PHD
Psychologist
711 TROY SCHENECTADY RD, SUITE 104
LATHAM, NY 12110
Albany County (518) 782-3813
PHUONG VINH
Radiology (Diagnostic Radiology)
711 TROY SCHENECTADY RD, SUITE 114
LATHAM, NY 12110
Albany County (518) 786-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Boulos's NPI number?

The NPI number for Maria Boulos is 1801973771. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Maria Boulos located?

Maria Boulos practices at 711 Troy Schenectady Rd Suite 114, Latham, NY 12110. The listed phone number is (518) 786-1600.

What is Maria Boulos's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

When was this NPI record last updated?

The NPPES record for Maria Boulos was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.