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Contact Information

MICHAEL POULOSE
1236 RXR PLZ
UNIONDALE, NY11556-1236
 Phone: 516-252-3939
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL POULOSE · (Male)

NPI Number 1740668227
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2015
Last updated 06/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 297658
Hospital affiliation(s)
  • LAKE CHARLES MEMORIAL HOSPITAL - (Acute Care)
    1701 OAK PARK BLVD
    LAKE CHARLES, LA 70601
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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