Individual
MANISHA K. BULSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 MAIN ST, SUITE 175, BROOKLYN, NY 11201-1000
(347) 328-0300
Mailing address
4545 E SHEA BLVD, SUITE 175, PHOENIX, AZ 85028-3074
(602) 317-6874
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011671
NY
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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