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Individual
MICHAEL JOSEPH BULZOMI
Active
Individual
MICHAEL JOSEPH BULZOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017295-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04295341
—
NY
01
—
A400131985
MEDICARE PROVIDER NUMBER
NY
Enumeration date
02/06/2014
Last updated
11/13/2016
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