| D.f.s Pulle Physician Pc | |
|
2410 Barker Ave Suite 1g Bronx NY 10467-7629 | |
| (718) 547-5880 | |
| (718) 547-6333 |
| Full Name | D.f.s Pulle Physician Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 2410 Barker Ave, Bronx, New York |
| Authorized Official Name and Position | Dunstan F Pulle (PRESIDENT) |
| Authorized Official Contact | 7185475880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.f.s Pulle Physician Pc 2410 Barker Ave Suite 1g Bronx NY 10467-7629 Ph: (718) 547-5880 | D.f.s Pulle Physician Pc 2410 Barker Ave Suite 1g Bronx NY 10467-7629 Ph: (718) 547-5880 |
| NPI Number | 1396050290 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396050290 | NPI | - | NPPES |
| 00196561 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 110177 (New York) | Primary |
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