AUGUSTAS A BOULUKOS MD

Dr AUGUSTAS A BOULUKOS MD is a male medical professional, specializing in Family Medicine. He graduated in 1978.

Contact

314 HEMPSTEAD AVE
WEST HEMPSTEAD
NY
115522054

Tel: 5165652010

AUGUSTAS A BOULUKOS MD Information

Npi 1447336813
Pac Id 7315919255
Professional Enrollment Id I20040810001526
Last Name BOULUKOS
First Name AUGUSTAS
Middle Name A
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1978
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 314 HEMPSTEAD AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WEST HEMPSTEAD
State NY
Zip Code 115522054
Phone Number 5165652010
Hospital Affiliation Ccn 1 330167
Hospital Affiliation Lbn 1 NYU WINTHROP HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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