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ANTHONY GERARD MICHAEL BUBOLO

Debarred entity
TypePerson[sources]
NameANTHONY GERARD MICHAEL BUBOLO · BUBOLO ANTHONY GERARD MICHAEL[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
First nameANTHONY[sources]
ID Number00035312[sources]
Last nameBUBOLO[sources]
Middle nameGERARD MICHAEL[sources]
NPI1740337955[sources]
SectorPharmacist[sources]
Unique Entity IDPH2EKZDGNNT3[sources]
PositionPHARMACIST (IND- LIC HC SERV PRO)[sources]
Address22 WHISPERING WOODS DRIVE, SMITHTOWN, NY 11787 · SMITHTOWN, NY 11787, USA[sources]
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Data sources

US New York State Medicaid Exclusions8,694

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States of America · OMIG

US SAM Procurement Exclusions105,568

A database of suppliers who have been excluded from participating in US federal procurement.

United States of America · GSA

US Health and Human Sciences Inspector General Exclusions80,987

People and companies excluded from Federally funded health care programs

United States of America · OIG


Source data IDs: us-medny-f9bf8295a2225e5958767858da02bad922d812fa · us-fed-excl-anthony-gerard-michael-bubolo-11787-smithtown

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