Dr Evgeny Bulat, MD, MA | |
350 Jericho Tpke Ste 310, Jericho, NY 11753-1317 | |
(212) 470-6676 | |
Not Available |
Full Name | Dr Evgeny Bulat |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 350 Jericho Tpke Ste 310, Jericho, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659832509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208VP0014X | Pain Medicine - Interventional Pain Medicine | 328362-01 (New York) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 328362-01 (New York) | Primary |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
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Dr Evgeny Bulat, MD, MA 2959 Northern Blvd Apt 22b, Long Island City, NY 11101-3646 Ph: () - | Dr Evgeny Bulat, MD, MA 350 Jericho Tpke Ste 310, Jericho, NY 11753-1317 Ph: (212) 470-6676 |
Matthew A Spiegel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 366 N Broadway Ste 305, Jericho, NY 11753 Phone: 516-496-4964 | |
Inho Stephen Kay, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3 Montgomery Pl, Jericho, NY 11753 Phone: 516-433-6557 | |
Dr. Chang S Yu, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 32 Marian Ln, Jericho, NY 11753 Phone: 718-416-4389 Fax: 718-416-3652 |