Dr John Richard Bulova, MD is a
Surgery physician based in Queensbury, New York. Dr John Richard Bulova is licensed to practice in New York (license number 120304) and his current practice location is 21 Pinion Pine Ln, Queensbury, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 743-9758.
NPI number for Dr John Richard Bulova is 1134190036 and his current mailing address is 21 Pinion Pine Ln, Queensbury, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134190036.
Physician's Profile
Full Name | Dr John Richard Bulova |
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Gender | Male |
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Speciality | Surgery |
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Location | 21 Pinion Pine Ln, Queensbury, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134190036
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 02/27/2014
Medical Identifiers
Medical identifiers for Dr John Richard Bulova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134190036 | NPI | - | NPPES |
120304 | Other | NY | NYS LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 120304 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Richard Bulova is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr John Richard Bulova, MD 21 Pinion Pine Ln, Queensbury, NY 12804-9012 Ph: (518) 743-9758 | Dr John Richard Bulova, MD 21 Pinion Pine Ln, Queensbury, NY 12804-9012 Ph: (518) 743-9758 |
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