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RENEE BOULWARE MD
NPI 1982023222
Pediatrics in Liverpool, NY

Active since April 15, 2014
4811 BUCKLEY RD, LIVERPOOL, NY 13088(315) 457-9966(315) 457-9854 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renee Boulware Md NPPES

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

RENEE BOULWARE MD (NPI 1982023222) is an individual pediatrics provider in Liverpool, New York, licensed in New York (2900860) and active in the NPI registry since April 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982023222
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRENEE BOULWARECredential: MD
Location Address4811 BUCKLEY RDLiverpool, NY 13088-3676
Mailing Address4811 Buckley RdLiverpool, NY 13088-3676 · (315) 457-9966 · Fax (315) 457-9854
Phone(315) 457-9966
Fax(315) 457-9854
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1982023222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 2900860
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4811 BUCKLEY RD, Liverpool, NY 13088
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Secondary Practice Locations 2

Location 1601 Elmwood Ave Box 777RRochester, NY 14642-0001 · Phone (585) 275-4174 · Fax (585) 442-6580
Location 25700 W Genesee St Ste 1BCamillus, NY 13031-3202 · Phone (315) 488-2868 · Fax (315) 488-6759

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.

DR. SALMA K. SYED M.D.
Pediatrics
4811 BUCKLEY RD
LIVERPOOL, NY 13088
Onondaga County (315) 457-9966
MRS. LISA C. SMITH P.N.P.
Nurse Practitioner (Pediatrics)
4811 BUCKLEY RD
LIVERPOOL, NY 13088
Onondaga County (315) 457-9966
MRS. GERALDINE M. LAMATTINA P.N.P.
Nurse Practitioner (Pediatrics)
4811 BUCKLEY RD
LIVERPOOL, NY 13088
Onondaga County (315) 457-9966
MISS CHERYL A. COOK NURSE PRACTITIONER
Clinical Nurse Specialist (Pediatrics)
4811 BUCKLEY RD
LIVERPOOL, NY 13088
Onondaga County (315) 457-9966
MRS. MARITZA ALVARADO M.D.
Pediatrics
4811 BUCKLEY RD
LIVERPOOL, NY 13088
Onondaga County (315) 457-9966
MS. MEGAN C. BOYLES PNP
Nurse Practitioner (Pediatrics)
4811 BUCKLEY RD
LIVERPOOL, NY 13088
Onondaga County (315) 457-9966
MS. LARA K. OGUNDIRAN NP
Nurse Practitioner (Pediatrics)
4811 BUCKLEY RD
LIVERPOOL, NY 13088
Onondaga County (315) 457-9966
ELIZABETH ERIN CASSALIA DO
Pediatrics
4811 BUCKLEY RD
LIVERPOOL, NY 13088
Onondaga County (315) 457-9966

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 Renee Boulware's NPI number?

The NPI number for Renee Boulware is 1982023222. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Renee Boulware located?

Renee Boulware practices at 4811 Buckley Rd, Liverpool, NY 13088. The listed phone number is (315) 457-9966.

What is Renee Boulware's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Renee Boulware was last updated on October 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.