Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Peter A Boulukos, MD

Individual provider Anesthesiology Physician · NPI 1184782260

Dr. Peter A Boulukos, MD is an Anesthesiology in West Islip, New York. Qualified in 1974, 52 years ago. Practices with Suffolk Anesthesia Services PLLC, a 4-clinician group. Licensed in New York.

Years since qualifying
52
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

471 Montauk Hwy
West Islip, NY 11795-4414
Phone: (631) 849-1050
Fax: (631) 849-1052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 141481-1 (NY)

Record details

NPI number1184782260
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address12 Grouse Ln, Huntington, NY 11743-1029

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice Suffolk Anesthesia Services Pllc — 4 clinicians
Accepts Medicare assignment Not indicated

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