Individual
DR. ALEXANDER BULANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10 UNION SQ E # 2NP, NEW YORK, NY 10003-3314
(212) 420-3960
Mailing address
10 EAST UNION SQUARE E., 2ND FLOOR 2N/P, NEW YORK, NY 10003-3314
(212) 420-3960
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
318377-01
NY
Other
Enumeration date
05/03/2016
Last updated
08/06/2022
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