Healthcare Provider Details

I. General information

NPI: 1871899088
Provider Name (Legal Business Name): RICHARD I. ULIN, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 02/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 PARK AVE
NEW YORK NY
10128-1154
US

IV. Provider business mailing address

1095 PARK AVE
NEW YORK NY
10128-1154
US

V. Phone/Fax

Practice location:
  • Phone: 212-860-0905
  • Fax: 212-410-1251
Mailing address:
  • Phone: 212-860-0905
  • Fax: 212-410-1251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD I ULIN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 212-860-0905