Individual
MR. DIMITRIOS BOULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LACU, LMT
Contact information
Practice address
3056 44TH ST, APT 1L, ASTORIA, NY 11103-2417
(718) 795-7770
Mailing address
3056 44TH ST, APT 1L, ASTORIA, NY 11103-2417
(718) 795-7770
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 004956
NY
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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