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Individual

GIRISH BULSARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACP

Contact information

Practice address
54 GREENWAY EAST, NEW HYDE PARK, NY 11040
(516) 849-7854
(516) 873-0786
Mailing address
54 GREENWAY EAST, NEW HYDE PARK, NY 11040
(516) 849-7854
(516) 873-0786

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
196576
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01768354
NY
Enumeration date
01/09/2006
Last updated
03/31/2008
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