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

Lily Bozaglo

Individual provider General Practice Dentistry · NPI 1770348393

Lily Bozaglo is a General Practice Dentistry in Staten Island, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

976 Bard Ave
Staten Island, NY 10301-3322
Phone: (718) 448-1866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 064909 (NY)

Record details

NPI number1770348393
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address2601 Ocean Pkwy, Brooklyn, NY 11235-7745

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