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Contact Information

SOPHIA BOULUKOS, MD
160 MIDDLE RD
SAYVILLE, NY11782-3126
 Phone: 631-379-6728
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SOPHIA BOULUKOS · (Female)

NPI # 1922259878
Status Active
Credentials MD
Entity Individual
Enumeration date 10/08/2008
Last updated 10/08/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 250691
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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