Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 248960 | NY |
N | 2080P0204X | Pediatric Emergency Doctor | MD425816 | PA |
NPI | 1154364784 |
---|---|
Provider Name | Francesca Maria Bullaro |
First Address | New Hyde Park, NY 11040 |
Second Address | New Hyde Park, NY 11040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 02/10/2008 |