Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 090806-1 | NY |
NPI | 1316980428 |
---|---|
Provider Name | Richard I Ulin |
First Address | New York, NY 10128-1154 |
Second Address | New York, NY 10128-1154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 19/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00144192 | (05) | NY |
C06651 | (02) | NY |