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NPI Code Detail

MEDICARE: DR. MADELYN D. PULLMAN MD

MEDICARE:  DR. MADELYN D. PULLMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician122312NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386646248
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MADELYN D. PULLMAN MD
Provider Business Mailing Address
First Line : 1551 RICHMOND ROAD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10304-2313
Country : US
Telephone Number : 718-987-5330
Fax Number : 718-987-5437
Provider Business Practice Location Address
First Line : 1551 RICHMOND ROAD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10304-2313
Country : US
Telephone Number : 718-987-5330
Fax Number : 718-987-5437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 05/13/2008

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Directions to “ DR. MADELYN D. PULLMAN MD” Practice Location

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