Pullman, Madelyn D.

Pullman, Madelyn D. is an sole proprietor health care provider with primary practice located at 1551 Richmond Road , Staten Island NY 10304-2313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Pullman, Madelyn D. can be contacted via phone (718) 987-5330.

Contact Information

Primary practice address
1551 Richmond Road Staten Island NY 10304-2313
Fax: (718) 987-5437
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 122312 New York

Profile Details

NPI number 1386646248
LBN Legal business name Pullman, Madelyn D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated May 13th, 2008 - 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 1386646248 NPPES
New York MEDICAID 00230153

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