National Provider Identifier Database

MICHAEL T DULAK, OPTICIAN – NPI #1689701005
Optician


Contact Information

MICHAEL T DULAK, OPTICIAN
3876 SOUTH PARK AVE
BLASDELL, NY14219
Phone: 716-822-2264
Fax: 716-826-3068
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for MICHAEL T DULAK

NPI Number 1689701005
Credentials OPTICIAN
Entity Individual
Enumeration date 02/27/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 3845
  • NY Medicaid: 00917226
Hospital affiliation n/a

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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