Bulatao, Isidro M

Bulatao, Isidro M is an individual health care provider with primary practice located at 190 5Th Ave , Troy NY 12180-1017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bulatao, Isidro M can be contacted via phone (518) 235-3990.

Contact Information

Primary practice address
190 5Th Ave Troy NY 12180-1017
Phone: (518) 235-3990
Fax: (518) 235-9177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 097438 New York

Profile Details

NPI number 1659355204
LBN Legal business name Bulatao, Isidro M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 18 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 1659355204 NPPES
New York Other 10000230 CDPHP
New York MEDICAID 00529300 CDPHP

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