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Matthew Bullis, LMSW
NPI 1932759230 · on the registry since 2019
Practice
- Address
- 18 Wyandotte Ln
East Islip, NY 11730 - Phone
- (631) 918-3186
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-18
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