Individual provider · Type 1 NPI

Monica Gamal Boulos, MD

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

NPI number 1366079949 Active

Practice location

1 Gustave L Levy Pl # 1234
New York, NY 10029-6504

Call (212) 241-6388 Map

Mailing address

9 Wyndover Woods Ln Apt 2
White Plains, NY 10603-3161

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X335194-01 (NY)
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 1366079949

Monica Gamal Boulos, MD's National Provider Identifier is 1366079949, issued on Mar 24, 2020. 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 Jun 24, 2025.