D.F.S Pulle Physician PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

110177 Issued in NY

Legal business name

D.F.S PULLE PHYSICIAN PC

Practice address

2410 Barker Ave
Suite 1G
Bronx, NY 10467-7629

Phone

(718) 547-5880

Fax

(718) 547-6333

NPI assigned

Aug 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dunstan F Pulle, M.D.

Title

President

Phone

(718) 547-5880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1396050290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 BARKER AVE",
            "address_2": "SUITE 1G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677629",
            "telephone_number": "718-547-5880",
            "fax_number": "718-547-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 BARKER AVE",
            "address_2": "SUITE 1G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677629",
            "telephone_number": "718-547-5880",
            "fax_number": "718-547-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.F.S PULLE PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "PULLE",
        "authorized_official_first_name": "DUNSTAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-547-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "110177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00196561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.