Bulanowski, Jill M

Bulanowski, Jill M is an individual health care provider with primary practice located at 675 Jericho Tpke , Huntington Station NY 11746-7501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bulanowski, Jill M can be contacted via phone (631) 424-2070.

Contact Information

Primary practice address
675 Jericho Tpke Huntington Station NY 11746-7501
Phone: (631) 424-2070
Fax: (631) 935-1376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 022744 New York

Profile Details

NPI number 1083695530
LBN Legal business name Bulanowski, Jill M
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 16th, 2007 - about 17 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 1083695530 NPPES
New York Other 176042P HIP HEALTH PLAN ID #
New York Other 4137123 HIP HEALTH PLAN ID #
New York Other 6605483 HIP HEALTH PLAN ID #
New York Other 7796390 HIP HEALTH PLAN ID #

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