Bulo, Concepcion Alejandra

Bulo, Concepcion Alejandra is an individual health care provider with primary practice located at 3611 21St St , Long Island City NY 11106-4705. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bulo, Concepcion Alejandra can be contacted via phone (718) 482-7772.

Contact Information

Primary practice address
3611 21St St Long Island City NY 11106-4705
Phone: (718) 482-7772
Fax: (718) 482-9648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 009023 New York

Profile Details

NPI number 1518489822
LBN Legal business name Bulo, Concepcion Alejandra
Credentials MS, RD, CDN, CLC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2017
Last updated Jul 10th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518489822 NPPES
New York MEDICAID 00695941

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