Dr Sophia Boulukos, MD | |
160 Middle Rd, Sayville, NY 11782-3126 | |
(631) 379-6728 | |
Not Available |
Full Name | Dr Sophia Boulukos |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 160 Middle Rd, Sayville, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922259878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 250691 (New York) | Primary |
Facility Name | Location | Facility Type |
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John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Private Practice Pllc | 9436274776 | 2 |
Entity Name | Physicians Private Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730408923 PECOS PAC ID: 9436274776 Enrollment ID: O20100910000182 |
Entity Name | Vytaliz Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568831105 PECOS PAC ID: 7719296938 Enrollment ID: O20151028002361 |
Mailing Address | Practice Location Address |
---|---|
Dr Sophia Boulukos, MD 262 Helm Ln, Bay Shore, NY 11706-8109 Ph: (631) 258-9362 | Dr Sophia Boulukos, MD 160 Middle Rd, Sayville, NY 11782-3126 Ph: (631) 379-6728 |
Philip Labarbera, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 Montauk Hwy, Sayville, NY 11782 Phone: 631-589-9303 | |
Alfonso Tan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 297 W Main St, Sayville, NY 11782 Phone: 631-589-2323 Fax: 631-589-9069 |