John Richard Bulova in Queensbury - Surgery
John Richard Bulova - NPI 1134190036
John Richard Bulova is a Surgery in Queensbury, New York. John Richard Bulova practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Richard Bulova is 1134190036. The last update date is 2014-02-27.
John Richard Bulova's current location address is 21 Pinion Pine Ln, Queensbury, New York. You can contact this provider via phone number 5187439758. The mailing address for John Richard Bulova is 21 Pinion Pine Ln, Queensbury, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Richard Bulova |
|---|---|
| Address | 21 Pinion Pine Ln, Queensbury, New York |
| Phone Number | 5187439758 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134190036 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
| Address | 21 Pinion Pine Ln |
|---|---|
| City | Queensbury |
| State | New York (NY) |
| Post Code | 128049012 |
| Phone Number | 5187439758 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 120304 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120304 | NY | NYS LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to John Richard Bulova by the Centers for Medicare & Medicaid Services?
The John Richard Bulova has been issued the NPI (National Provider Identifier) 1134190036. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Richard Bulova?
The John Richard Bulova is situated at 21 Pinion Pine Ln, in the city of Queensbury, state of NY, with the zip code 128049012.
What is John Richard Bulova's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Richard Bulova's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
When did John Richard Bulova receive its 1134190036 assignment?
The John Richard Bulova was assigned its 1134190036 on 2006-01-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding John Richard Bulova, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Richard Bulova, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-27.