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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649216367 | NPPES |
| New York | MEDICAID | 00887036 | |
| New York | Other | AS530 | |
| New York | Other | 1C4996 |
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