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NPI Code Detail

MEDICARE: SANFORD ULLMAN M.D.

MEDICARE:   SANFORD  ULLMAN  M.D.
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
1174400000XSpecialist123347NY

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 : 1952304115
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANFORD ULLMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 626
Second Line :
City : CLAVERACK
State : NY
Zip : 12513-0626
Country : US
Telephone Number : 518-828-3391
Fax Number : 518-828-6734
Provider Business Practice Location Address
First Line : 820 UNION ST
Second Line :
City : HUDSON
State : NY
Zip : 12534-3004
Country : US
Telephone Number : 518-828-3391
Fax Number : 518-828-6734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ SANFORD ULLMAN M.D.” Practice Location

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