Dulak, Michael Thomas

Dulak, Michael Thomas is an individual health care provider with primary practice located at 3876 South Park Ave , Blasdell NY 14219. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Dulak, Michael Thomas can be contacted via phone (716) 822-2264.

Contact Information

Primary practice address
3876 South Park Ave Blasdell NY 14219
Phone: (716) 822-2264
Fax: (716) 826-3068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 3845 New York

Profile Details

NPI number 1689701005
LBN Legal business name Dulak, Michael Thomas
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 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 1689701005 NPPES
New York MEDICAID 00917226

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