Ms Monique S Boulet, RD is a
Dietitian, Registered based in Lake George, New York. Ms Monique S Boulet is licensed to practice in New York (license number 844475) and her current practice location is
23 Trinity Rock Rd, Lake George, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 312-6309.
NPI number for Ms Monique S Boulet is 1649463753 and her current mailing address is 23 Trinity Rock Rd, Lake George, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649463753.
Healthcare Provider's Profile
Full Name | Ms Monique S Boulet |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 23 Trinity Rock Rd, Lake George, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649463753
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 07/23/2024
Medical Identifiers
Medical identifiers for Ms Monique S Boulet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649463753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 844475 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Monique S Boulet is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Monique S Boulet, RD 23 Trinity Rock Rd, Lake George, NY 12845-6603 Ph: (518) 312-6309 | Ms Monique S Boulet, RD 23 Trinity Rock Rd, Lake George, NY 12845-6603 Ph: (518) 312-6309 |
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