Search › New York › 164W00000X
Kylasia Bullard
NPI 1295660850 · on the registry since 2026 · sole proprietor
Practice
- Address
- 64 Bedford Ave
Mastic, NY 11950 - Phone
- (631) 461-2428
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-16
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