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

Individual provider Pharmacist · NPI 1609241942

Micheline Boulis is a Pharmacist in Staten Island, New York. Licensed in New Jersey and New York. Registered with an NPI since 2015.

Licensed in
NJ, NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

5 Croft Pl
Staten Island, NY 10314-6501
Phone: (718) 354-0957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 061238 (NY)
Pharmacist Taxonomy 183500000X · Licence 28RI03755500 (NJ)

Record details

NPI number1609241942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2015
Last updated in NPPESDecember 12, 2015

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