Individual
DR. WOLODYMYR IWAN BULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 DEGRANDPRE WAY STE 600, PLATTSBURGH, NY 12901-6454
(518) 563-0490
(518) 563-0707
Mailing address
PO BOX 2007, EAST SYRACUSE, NY 13057-4507
(315) 362-5285
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
196601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01505384
—
NY
Enumeration date
05/01/2006
Last updated
10/18/2020
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