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NPI Code Detail

MEDICARE: MEGAN BULANOWSKI MD

MEDICARE: MEGAN BULANOWSKI 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
1208000000XPediatrics Physician301350NY
2208000000XPediatrics Physician2024-02436NC

General Provider Information

NPI Number : 1679925622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN BULANOWSKI MD
Provider Business Mailing Address
First Line : 301 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8408
Country : US
Telephone Number : 631-968-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2016
Last Update Date : 04/09/2026

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Directions to “ MEGAN BULANOWSKI MD” Practice Location

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