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Stephanie Bullock
NPI 1215203518 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1715 Weirfield St
Room 212
Ridgewood, NY 11385 - Phone
- (718) 628-0664
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York