Individual
DR. EVGENY BULAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MA
Contact information
Practice address
350 JERICHO TPKE STE 310, JERICHO, NY 11753-1317
(212) 470-6676
Mailing address
290 MADISON AVE STE 201, NEW YORK, NY 10017-6308
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
328362-01
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
328362-01
NY
Other
Enumeration date
03/25/2019
Last updated
02/18/2025
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