Bourla, Steven

Bourla, Steven is an individual health care provider with primary practice located at 789 Old Country Rd , Plainview NY 11803-4907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bourla, Steven can be contacted via phone (516) 433-3600.

Contact Information

Primary practice address
789 Old Country Rd Plainview NY 11803-4907
Phone: (516) 433-3600
Fax: (516) 433-9490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 128336 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 128336 New York

Profile Details

NPI number 1649216367
LBN Legal business name Bourla, Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 22nd, 2013 - about 12 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 1649216367 NPPES
New York MEDICAID 00887036
New York Other AS530
New York Other 1C4996

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