National Provider Identifier
Roger Joseph Boulay, M.D.
Roger Joseph Boulay, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Pittsford, NY and a listed phone number of (585) 586-2003.
Profile Overview
- NPI
- 1164555983
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 13, 2007
- Last Updated
- July 08, 2007
Practice Location
- 17 Split Rock RD
- Pittsford, NY 14534-1813
Phone: (585) 586-2003
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1164555983
- Entity Type
- Individual
- Last Name
- Boulay
- First Name
- Roger
- Middle Name
- Joseph
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 17 Split Rock RD
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-1813
- Mailing Country
- US
- Mailing Phone
- (585) 586-2003
- Mailing Fax
- (585) 276-0054
- Practice Street Address
- 17 Split Rock RD
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-1813
- Practice Country
- US
- Practice Phone
- (585) 586-2003
- Practice Fax
- (585) 276-0054
- Enumeration Date
- March 13, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)