MRS. SANDRA BULOS


Address: 3410-18 Broadway 2nd Fl, New York, NY 10031
Phone: 2122832099

MRS. SANDRA BULOS (NPI# 1356712657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356712657
Entity Type Individual
Full Name MRS. SANDRA BULOS
Credential M.D.
Practice Address 3410-18 Broadway 2nd Fl
New York
NY 10031
Mailing Address 565 W 125th St
New York
NY 10027-3424
Practice Telephone 2122832099
Mailing Telephone 2124701000
Mailing Fax Number 8006046146
Enumeration Date 2015-10-13
Last Update Date 2019-04-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 289976 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 3410-18 BROADWAY 2ND FL
City NEW YORK
State NY
Zip Code 10031

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346883675 Lisa Tian Chen Physician Assistant 160 Convent Ave., Harris Hall #15, New York, NY 10031 2019-10-18
1699329144 Dianna Rosario Registered Nurse 640 Riverside Drive, New York, NY 10031 2019-08-01
1447767058 Sophie Jetta Miller Social Worker 507 West 140th Street, #43, New York, NY 10031 2018-01-04
1376074005 Broadway Rx Enterprises Inc Pharmacy 3489 Broadway, New York, NY 10031 2017-03-24
1174061469 Mbene Diop In Home Supportive Care 505 West 148 St Apt 4a, New York, NY 10031 2017-02-07
1447702691 Sylvan Roger Maginley Jr. General Practice 302 Convent Avenue 6, New York, NY 10031 2016-11-03
1477009124 Anthony Mcfadden Counselor 625 West 140th Street, Manhattan, NY 10031 2016-08-31
1942754601 E-green Pharmacy Inc Pharmacy 3500 Broadway, New York, NY 10031 2016-08-11
1033591375 Phillip Carron Family Medicine 3556 Broadway, New York, NY 10031 2015-06-23
1649664319 L Dental PC Dentist 3682 Broadway Ground Level, New York, NY 10031 2015-03-20
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1295341535 Reside Health Medical Group, Pllc Internal Medicine 520 Broadway Fl 4, New York, NY 10012-4436 2020-09-22
1295348019 Vault Medical Group Pa Internal Medicine 133 E 58th St Ste 512, New York, NY 10022-1145 2020-08-31
1205447745 Princeton Longevity Medical of New York Pllc Internal Medicine 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 2020-08-10
1558971929 New Jersey Birdie Health PC Internal Medicine 330 E 38th St Apt 15c, New York, NY 10016-2769 2020-07-31
1972112456 Daniel William Fitzgerald Internal Medicine 402 E 67th St Fl 2, New York, NY 10065-6304 2020-07-30
1346858222 Sowell Health PC Internal Medicine 308 E 38th St Ste 200, New York, NY 10016-9825 2020-07-16
1417574062 Bob Yeon Shim Internal Medicine 330 W 145th St Apt 605, New York, NY 10039-3095 2020-06-30
1891319810 Careathome Medical Practice, PC Internal Medicine 287 Park Ave S Fl 3, New York, NY 10010-4573 2020-06-05
1487276473 Alinea Medical Associates PC Internal Medicine 205 E 69th St Apt 1b, New York, NY 10021-5437 2020-05-12
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City NEW YORK
Zip Code 10031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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