Individual ProviderAlan BulbinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2200 Northern Blvd 205, Greenvale, NY 11548-1219(516) 767-7771PECOS EnrollmentBased on the most recent information from CMS, provider Alan Bulbin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053360628Provider TypeIndividualFull NameBulbin, AlanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/9/2006Last Updated3/21/2023Contact InformationPractice LocationPractice Address2200 Northern Blvd 205, Greenvale, NY 11548-1219Phone(516) 767-7771Fax(516) 767-7765Mailing LocationMailing Address2200 Northern Blvd 205, Greenvale, NY 11548-1219Phone(516) 767-7771Fax(516) 767-7765Provider TaxonomiesCodeDescriptionLicenseCode207RI0200XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense181045New YorkProvider IdentifiersIDDescriptionIssuerID01445683DescriptionMedicaidIssuerUnlistedNew YorkID112814003DescriptionOtherIssuerTAX ID