DR. Sophia Boulukos, M.D

NPI #1922259878 in Sayville, New York

Provider Information

NPI Number: 1922259878
Entity Type: Individual
Name: DR. Sophia Boulukos, M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D
Enumeration Date: Oct 8, 2008
Last Updated: Oct 8, 2008

Practice Location

Address: 160 MIDDLE RD
City: Sayville
State: New York
ZIP Code: 11782-3126
Phone: (631) 379-6728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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