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Individual

MAX A BULMASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3904 16TH AVE, BROOKLYN, NY 11218-5500
(718) 851-8080
(718) 871-8808
Mailing address
PO BOX 190421, BROOKLYN, NY 11219-0421

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
146343
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00787302
NY
Enumeration date
02/22/2006
Last updated
07/13/2017
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