National Provider Identifier
Michael Thomas Dulak, OPTICIAN
Michael Thomas Dulak, OPTICIAN is listed in the NPPES registry with a primary specialty of Optician in Blasdell, NY and a listed phone number of (716) 822-2264.
Profile Overview
- NPI
- 1689701005
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- February 27, 2007
- Last Updated
- July 08, 2007
Practice Location
- 3876 South Park Ave
- Blasdell, NY 14219
Phone: (716) 822-2264
Mailing Address
- 57 Sawgrass Ct
- Hamburg, NY 14075
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1689701005
- Entity Type
- Individual
- Last Name
- Dulak
- First Name
- Michael
- Middle Name
- Thomas
- Credential
- OPTICIAN
- Mailing Street Address
- 57 Sawgrass Ct
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075
- Mailing Country
- US
- Mailing Phone
- (716) 649-0436
- Practice Street Address
- 3876 South Park Ave
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219
- Practice Country
- US
- Practice Phone
- (716) 822-2264
- Practice Fax
- (716) 826-3068
- Enumeration Date
- February 27, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)
- Other Identifiers
- 00917226 (NY)