Bullock, Stephanie Allyson

Bullock, Stephanie Allyson is an sole proprietor health care provider with primary practice located at 1715 Weirfield St Room 212, Ridgewood NY 11385-5351. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bullock, Stephanie Allyson can be contacted via phone (718) 628-0664.

Contact Information

Primary practice address
1715 Weirfield St Room 212 Ridgewood NY 11385-5351
Phone: (718) 628-0664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 025989-1 New York

Profile Details

NPI number 1215203518
LBN Legal business name Bullock, Stephanie Allyson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2012
Last updated Mar 30th, 2012 - about 12 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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