Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LILY BOZAGLO
NPI 1770348393
Dentist - General Practice in Staten Island, NY

Active since February 14, 2024
976 BARD AVE, STATEN ISLAND, NY 10301(718) 448-1866 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lily Bozaglo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILY BOZAGLO (NPI 1770348393) is an individual general practice provider in Staten Island, New York, licensed in New York (064909) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1770348393
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLILY BOZAGLO
Location Address976 BARD AVEStaten Island, NY 10301-3322
Mailing Address2601 Ocean PkwyBrooklyn, NY 11235-7745 · (718) 616-3000
Sole ProprietorNo
Enumeration DateFebruary 14, 2024
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1770348393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 064909
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.
976 BARD AVE, Staten Island, NY 10301

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
976 BARD AVE
STATEN ISLAND, NY 10301
Dentist (General Practice)
976 BARD AVE
STATEN ISLAND, NY 10301
Dentist
976 BARD AVE
STATEN ISLAND, NY 10301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lily Bozaglo's NPI number?

The NPI number for Lily Bozaglo is 1770348393. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Lily Bozaglo located?

Lily Bozaglo practices at 976 Bard Ave, Staten Island, NY 10301. The listed phone number is (718) 448-1866.

What is Lily Bozaglo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lily Bozaglo was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.