Bullock, Ivy

Bullock, Ivy is an individual health care provider with primary practice located at 240 Long Island Ave , Wyandanch NY 11798-3123. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bullock, Ivy can be contacted via phone (631) 782-6200.

Contact Information

Primary practice address
240 Long Island Ave Wyandanch NY 11798-3123
Phone: (631) 782-6200
Fax: (631) 491-5354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 083420 New York

Profile Details

NPI number 1023496718
LBN Legal business name Bullock, Ivy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2015
Last updated Jun 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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