Alex Boukas is a General Practice in Mattituck, New York. Alex Boukas practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alex Boukas is 1609833896. The last update date is 2007-07-08.
Alex Boukas's current location address is 14695 Main Rd, Mattituck, New York. You can contact this provider via phone number 6312988334 and fax number 6312985221. The mailing address for Alex Boukas is 14695 Main Rd, Mattituck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alex Boukas |
|---|---|
| Address | 14695 Main Rd, Mattituck, New York |
| Phone Number | 6312988334 |
| Fax Number | 6312985221 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1609833896 |
|---|---|
| Provider Enumeration Date | 2006-04-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14695 Main Rd |
|---|---|
| City | Mattituck |
| State | New York (NY) |
| Post Code | 119522327 |
| Phone Number | 6312988334 |
| Fax Number | 6312985221 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 41583 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Alex Boukas by the Centers for Medicare & Medicaid Services?
The Alex Boukas has been issued the NPI (National Provider Identifier) 1609833896. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Alex Boukas is physically located?
The Alex Boukas is situated at the following address: 14695 Main Rd, Mattituck, NY 119522327.
What is the Alex Boukas's area of specialization and corresponding taxonomy classification?
The Alex Boukas's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Alex Boukas receive the assignment of its 1609833896 from the Centers for Medicare & Medicaid Services?
The Alex Boukas was issued its 1609833896 by the Centers for Medicare & Medicaid Services on 2006-04-30.
When was the information regarding Alex Boukas most recently updated?
The details pertaining to the Alex Boukas, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.