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1427044908
BOULOS SAMUEL
KEW GARDENS, NY
NPI
1427044908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 025891)
Enumeration Date
2005-09-21
Last Update Date
2011-03-03
Business Address
Mr. BOULOS SAMUEL PT
8046 KEW GARDENS RD
KEW GARDENS, NY 11415-1154
Phone number: 718-261-1000
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Mailing Address
Mr. BOULOS SAMUEL PT
8046 KEW GARDENS RD
KEW GARDENS, NY 11415-1154
Phone number: 718-261-1000
Copy
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