Individual
REISA FRAN ULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
297 MINEOLA BLVD, MINEOLA, NY 11501
(516) 741-2772
(516) 294-5574
Mailing address
PO BOX 1019, SPRING VALLEY, NY 10977-0819
(516) 869-8982
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
152243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463818
—
NY
Enumeration date
05/11/2007
Last updated
06/14/2010
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