Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | ANTHONY GERARD MICHAEL BUBOLO · BUBOLO ANTHONY GERARD MICHAEL | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | ANTHONY | [sources] | |||
ID Number | 00035312 | [sources] | |||
Last name | BUBOLO | [sources] | |||
Middle name | GERARD MICHAEL | [sources] | |||
NPI | 1740337955 | [sources] | |||
Sector | Pharmacist | [sources] | |||
Unique Entity ID | PH2EKZDGNNT3 | [sources] | |||
Position | PHARMACIST (IND- LIC HC SERV PRO) | [sources] | |||
Address | 22 WHISPERING WOODS DRIVE, SMITHTOWN, NY 11787 · SMITHTOWN, NY 11787, USA | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States of America · GSA
People and companies excluded from Federally funded health care programs
United States of America · OIG
us-medny-f9bf8295a2225e5958767858da02bad922d812fa
· us-fed-excl-anthony-gerard-michael-bubolo-11787-smithtown
For experts: raw data explorer
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United States of America | OPM | Reciprocal | - |
United States of America | New York State Office of the Medicaid Inspector General | - | - |