Individual
ATHANASIA BOULIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 E 70TH ST FL 3, NEW YORK, NY 10021-4872
(646) 962-3442
Mailing address
505 E 70TH ST FL 3, NEW YORK, NY 10021-4872
(646) 962-3442
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
07/06/2022
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