Dr. George P Boolukos , MD
Voluntary or Charitable • Plattsburgh, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. George Boolukos has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. George Boolukos, MD was a registered Voluntary or Charitable practicing in Plattsburgh, NY. Throughout an active medical career spanning 11 years, Dr. Boolukos provided care at the practice location at 210 CORNELIA ST until profile deactivation on 2018-04-16.
Practice Location & Contact Primary Location
210 Cornelia St
Suite 105
Plattsburgh, NY 129012318
Specialty Benchmarks & Practice Insights
Comparative analytics for Voluntary or Charitable in Plattsburgh, NY
Practicing in Plattsburgh, NY (8 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 251V00000X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant - Medical
Physician Assistant
Technician/Technologist - Optician
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
Advanced Practice Registered Nurse
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
Registered Nurse, Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 16, 2018
NPI status registered as active in NPPES database
Registered at 210 CORNELIA ST, SUITE 105, PLATTSBURGH, NY 129012318 (Tel: 5185633700)
Registered at 1 KENT LN, PLATTSBURGH, NY 129011816 (Tel: 5185637492)
Recorded as GEORGE BOOLUKOS, M.D.
Voluntary or Charitable (License #076054 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1 Kent Ln
Plattsburgh, NY 129011816
Phone: 5185637492
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