Provider Demographics
NPI:1215107768
Name:BUJALSKI, DOLORES ANNE (RN)
Entity type:Individual
Prefix:
First Name:DOLORES
Middle Name:ANNE
Last Name:BUJALSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7989 DOGWOOD PATH DR
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9165
Mailing Address - Country:US
Mailing Address - Phone:585-924-5867
Mailing Address - Fax:585-924-5099
Practice Address - Street 1:7989 DOGWOOD PATH DR
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-9165
Practice Address - Country:US
Practice Address - Phone:585-924-5867
Practice Address - Fax:585-924-5099
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328090-1163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development