Individual
DR. AUGUSTAS ANGELO BOULUKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
314 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2043
(516) 565-2010
(516) 538-7016
Mailing address
102 4TH ST, GARDEN CITY, NY 11530-5934
(516) 742-6510
(516) 538-7016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158084
NY
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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