Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mateo Boulos

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962343608

Mateo Boulos is a Student in an Organized Health Care Education/Training Program in Albany, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

43 New Scotland Ave
Albany, NY 12208-3478
Phone: (518) 262-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 65203 (NY)

Record details

NPI number1962343608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 5, 2026
Mailing address43 New Scotland Ave, Albany, NY 12208-3478

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