Individual
MARIA T RODRIGUEZ BOULAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27 WEST 86TH STREET, AP 1C, NEW YORK, NY 10024
(212) 579-3812
Mailing address
271 CENTRAL PARK WEST, AP 1D, NEW YORK, NY 10024
(212) 799-0606
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
131344
NY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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