IndividualActive
Evgeny Bulat, MD, MA
NPI 1659832509 · Interventional Pain Medicine Physician · Jericho, NY
Provider details
- NPI number
- 1659832509
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MA
- Sex
- Male
- Sole proprietor
- No
- License
- 328362-01 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
350 Jericho Tpke Ste 310
Jericho, NY 11753-1317
Phone: (212) 470-6676
Approximate (ZIP-level) locationGet directions
Mailing address
290 Madison Ave Ste 201
New York, NY 10017-6308
Registry dates
- Enumerated
- 2019-03-25
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.