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MANUEL C BULAUITAN MD
>> Legal Medicine >> Other Service ProvidersRegistrant NPI Number: 1477520062
Individual Registrant: MANUEL C BULAUITAN MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
17706 WEXFORD TERRACE JAMAICA ESTATES, NY 11432 US
Tel: 718-291-9386 Fax: --
Tel: 718-291-9386 Fax: --
Contact information for business:
17706 WEXFORD TERRACE JAMAICA ESTATES, NY 11432 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1477520062
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 173000000X | Other Service Providers Legal Medicine | NY | 121369 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00246213 | NY | 05 |
