Individual
DENISE BULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 ROUTE 291, MARCY, NY 13403
(315) 266-3200
Mailing address
67 WHITESBORO ST, YORKVILLE, NY 13495-1313
(315) 266-3200
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
521315
NY
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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