Boozan, William C

Boozan, William C is an individual health care provider with primary practice located at 1915 New Hyde Park Rd , New Hyde Park NY 11040-2028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boozan, William C can be contacted via phone (516) 775-6640.

Contact Information

Primary practice address
1915 New Hyde Park Rd New Hyde Park NY 11040-2028
Phone: (516) 775-6640
Fax: (516) 775-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 163456 New York

Profile Details

NPI number 1386741353
LBN Legal business name Boozan, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386741353 NPPES
New York Other 165878 ELDER PLAN
New York MEDICAID 01841978 ELDER PLAN
New York Other P2349800 ELDER PLAN

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