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Contact Information

KAELEE BOULERIS, ATC
203 COUNTY ROUTE 70
STILLWATER, NY12170-2000
 Phone: 518-779-5540
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for KAELEE BOULERIS · (Female)

NPI # 1033723226
Status Active
Credentials ATC
Entity Individual
Enumeration date 09/03/2020
Last updated 06/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 104729
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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