Individual provider · Type 1 NPI

Athanasia Bouliari, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1104482413 Active · reactivated Jan 27, 2020

Practice location

505 E 70th St Fl 3
New York, NY 10021-4872

Call (646) 962-3442 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104482413

Athanasia Bouliari, MD's National Provider Identifier is 1104482413, issued on May 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jul 6, 2022.