MEDICARE: DR. FREDERICK ANTHONY GULMI 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
1	208800000X	Urology Physician	152009	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1588652838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK ANTHONY GULMI MD

Provider Business Mailing Address
First Line	:	6740 4TH AVE FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5350
Country	:	US
Telephone Number	:	929-455-2700
Fax Number	:	929-455-2770

Provider Business Practice Location Address
First Line	:	6740 4TH AVE FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5350
Country	:	US
Telephone Number	:	929-455-2700
Fax Number	:	929-455-2770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	04/05/2021

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