Boulos, Adly Zekry

Boulos, Adly Zekry is an individual health care provider with primary practice located at 3123 Coney Island Ave , Brooklyn NY 11235-6468. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Boulos, Adly Zekry can be contacted via phone (718) 646-4200.

Contact Information

Primary practice address
3123 Coney Island Ave Brooklyn NY 11235-6468
Phone: (718) 646-4200
Fax: (718) 646-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 034547 New York

Profile Details

NPI number 1457333130
LBN Legal business name Boulos, Adly Zekry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 9th, 2007 - about 18 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 1457333130 NPPES
New York MEDICAID 00460444

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