Individual
DR. BRIAN MICHAEL PULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4045 HEMPSTEAD TPKE, 3RD FLOOR, BETHPAGE, NY 11714-5611
(516) 731-7770
(516) 731-7052
Mailing address
4045 HEMPSTEAD TPKE, 3RD FLOOR, BETHPAGE, NY 11714-5611
(516) 731-7770
(516) 731-7052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
224739
MA
Other
Enumeration date
01/14/2008
Last updated
09/22/2011
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