| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | BULANOWSKI MICHAEL ANTHONY | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00152718 | [sources] | |||
| NPI | 1841297249 | [sources] | |||
| Sector | Physician | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-npi-1841297249 · us-medny-bf2f0f1eda589763bb0d1ce7a0b07657fa7e785fFor experts: raw data explorer
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