Individual
DR. WILLIAM C BOOZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 NEW HYDE PARK RD, NEW HYDE PARK, NY 11040-2028
(516) 775-6640
(516) 775-7069
Mailing address
825 E GATE BLVD, STE 111, GARDEN CITY, NY 11530-2136
(516) 804-5200
(516) 240-6540
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
163456
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01841978
—
NY
01
—
165878
ELDER PLAN
NY
01
—
P2349800
OXFORD
NY
Enumeration date
09/20/2006
Last updated
10/15/2019
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