Bulova, John Richard
Bulova, John Richard is an sole proprietor health care provider with primary practice located at 21 Pinion Pine Ln , Queensbury NY 12804-9012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bulova, John Richard can be contacted via phone (518) 743-9758.Contact Information
Primary practice address
21 Pinion Pine Ln
Queensbury NY 12804-9012
Phone: (518) 743-9758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 120304 | New York |
Profile Details
| NPI number | 1134190036 |
|---|---|
| LBN Legal business name | Bulova, John Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Feb 27th, 2014 - about 10 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 | 1134190036 | NPPES |
| New York | Other | 120304 | NYS LICENSE |
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