Healthcare Provider Details

I. General information

NPI: 1558489310
Provider Name (Legal Business Name): STEVEN ULANO N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5690 STATE ROUTE 42
FALLSBURG NY
12733
US

IV. Provider business mailing address

PO BOX 202
FALLSBURG NY
12733-0202
US

V. Phone/Fax

Practice location:
  • Phone: 845-425-7825
  • Fax:
Mailing address:
  • Phone: 845-425-7825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number133161
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: