Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pulat Pulatov

Individual provider Family Medicine Physician · NPI 1437579166

Pulat Pulatov is a Family Practice in Glendale, New York. Qualified in 2014, 12 years ago. Practices with Mid Island Medical Associates, PLLC, a 7-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

6835 Myrtle Ave
Glendale, NY 11385-7234
Phone: (516) 354-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6260 108th St Apt 2f, Forest Hills, NY 11375-1301 — (646) 932-6320

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 281960 (NY)

Record details

NPI number1437579166
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2014
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mid Island Medical Associates, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Glendale