# WILLIAM C BOOZAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215068176
- **Authorized official:** DR. WILLIAM C BOOZAN MD (PRESIDENT)
- **Authorized official phone:** (516) 775-6640

## Contact information

- **Practice address:** 1915 NEW HYDE PARK RD, NEW HYDE PARK, NY 11040-2028
- **Practice address phone:** (516) 775-6640
- **Practice address fax:** (516) 775-7069
- **Mailing address:** 1915 NEW HYDE PARK RD, NEW HYDE PARK, NY 11040-2028
- **Mailing address phone:** (516) 775-6640
- **Mailing address fax:** (516) 775-7069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 09/13/2016