Search › New York › 1041C0700X
Kimberly Bullock, LCSW
NPI 1265708564 · on the registry since 2012 · sole proprietor
Practice
- Address
- 17657 132nd Ave
Jamaica, NY 11434 - Phone
- (718) 712-1790
- Fax
- (516) 292-7008
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- 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