MR. Boulos Samuel JR., PT
NPI #1427044908 in Kew Gardens, New York
Provider Information
- NPI Number
- 1427044908
- Entity Type
- Individual
- Name
- MR. Boulos Samuel JR., PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Sep 21, 2005
- Last Updated
- Mar 3, 2011
Practice Location
- Address
- 8046 KEW GARDENS RD
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-1154
- Phone
- (718) 261-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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